Vietnam, which is experiencing a heath transition from communicable to non-communicable diseases, has an increased burden of stroke. Understanding its risk factors, including stress, are needed. The goal of this study was to evaluate the relationship of chronic stress and stroke symptoms (which are indicative of a potential stroke) as well as hypertension and diabetes in participants ages 35 and older in Da Nang, Viet Nam. We randomly identified adults, age 35 and older using voter registration lists for inclusion in this study. Interviews and health procedures were conducted either at the local health clinic or participants’ homes depending on preference. Stress was measured using the chronic stress burden scale assessing problems occurring in five domains: problems with one’s own health, with another’s health, job difficulties, financial strain, and relationship problems. Hypertensions was defined as self-reported or measured systolic blood pressure of 140 mm Hg or diastolic of 90 mm Hg and higher. Stroke was ascertained as a self-report of symptoms related to stroke or transient ischemic attack collected by the Questionnaire to Verify Stroke-Free Status (QVSFS). Multiple logistic regressions assessed the odds of increased risk of stroke related to level of stress categorized as no stress, 1 or 2 symptoms, and 3 to 5 symptoms in unadjusted and adjusted models. After adjustment for demographic, health characteristics, as well as diabetes and hypertension, individuals experiencing stress at the highest level (3-5 domains) were more than eight times as likely to report stroke symptoms as those with no stress (OR: 8.13, 4.43-14.91). Lower levels of stress (1-2 domains) also increased significantly the risk of stroke symptoms (OR: 3.27, 95% CI: 2.01-5.34). After adjusting for diabetes and hypertension, along with other potential confounding factors, we found stress to be independently associated with risk of stroke as measured by stroke symptoms.