Objective To explore the potential profile classification of pre-hospital delayed behavioral intention in stroke high-risk population, and to analyze its influencing factors,so as to provide a reference for developing tailored intervention. Methods A total of 213 high-risk stroke patients were investigated by using a general information questionnaire, the Stroke Pre-hospital Delay Behavior Intention (SPDBI) and the health literacy scale for patients with chronic diseases. Then the potential profile analysis of the participants′ pre-hospital delay behavior intention was conducted, and the influencing factors of potential profile were identified via single factor analysis and logistic regression analysis. Results The pre-hospital delay behavior intention of stroke high-risk stroke population was divided into three categories: high delay-high rationalization group (12.7%), medium delay group (66.7%) and low delay-low alertness group (20.6%). Logistic regression analysis showed that, place of residence, smoking status,personality type and health literacy were the influencing factors of potential profile classification of the participants′ pre-hospital delay behavior intention(all P<0.05). Conclusions There is heterogeneity in pre-hospital delay behavior intention among high-risk population of stroke, thus medical staff can implement targeted interventions according to the traits and influencing factors of pre-hospital delay behavior intention,so as to improve their pre-hospital delay.