Objective: Huli District in Xiamen is a national reform pilot area for chronic disease prevention and treatment. The purpose of this study is to investigate the prevalence of hypertension, diabetes, hyperlipidemia and obesity which are the risk factors related to cardiovascular diseases, and explore the appropriate corresponding modes of community health management in permanent residents living in Huli District, Xiamen.Methods: Using proportional stratified random sampling method, the prevalence of hypertension, diabetes, hyperlipidemia and obesity and the status of community health management in the residents more than 18 years of age living in Huli District, Xiamen for more than six months were investigated.Results: This survey was conducted in July 2013, and a total of 3 300 cases were included in this study, and 3 240 eligible questionnaires were obtained from 1 583 males (48.86%) and 1 657 females (51.14%); the effective response rate was 98.18%. The overall prevalence rates of hypertension, diabetes, hyperlipidemia and obesity were 21.36%, 5.31%, 4.48% and 10.74%, respectively. The prevalence rates of hypertension, diabetes, hyperlipidemia and obesity were 22.30%, 6.51%, 7.08% and 8.09%, respectively in males, and 20.46%, 4.16%, 1.99% and 13.28% in females, respectively. In this sample, the proportion of chronic disease patients received at least one intervention of health management was 9.26% (300/3 240).Conclusion: The prevalence rates of chronic diseases in residents in Huli District, Xiamen are higher than the average level in China, which indicates that the risk factors of cardiovascular diseases have a certain prevalence in the residents in Huli District. The implementation of community health management can help to prevent and treat the chronic diseases, improve the rehabilitation efficacy for patients, and reduce the economic and family burden.