Objective To investigate the level and determinants of self-awareness of falls among community-dwelling older adults, and to provide a reference for formulating targeted fall prevention strategies.Methods A total of 628 elderly people were selected from 3 communities in Hefei city using convenience sampling and investigated with a self-designed general information questionnaire, the Self-awareness of Falls in Elderly Scale, Fall Risk Self-assessment Scale of the STEADI, Pittsburgh Sleep Quality Index and Simple Frailty Questionnaire.Results The score of self-awareness of falls among community-dwelling older adults was （52.94±8.83）.Multiple linear regression showed that education level, history of falls in the past year, sedentary pattern, fear of falling, fall risk, sleep disorders, and frailty were the influencing factors of self-awareness of falls among community-dwelling older adults （all P＜0.05）.Conclusion The community-dwelling older adults report a low level of self-awareness of falls.Personalized interventions should be taken based on the influencing factors to enhance self-awareness of falls in the elderly and reduce the incidence of falls.