Objective To investigate the status quo and influencing factors of care perception of urban older adults, and to provide re-ferences for targeted intervention in the future.Methods A self-designed Care Perception Scale for Urban Older Adults was used to survey 498 urban older adults from four cities in central China.And the Anderson model was used to classify the influencing factors, which were later subjected to univariate and multi-variate analysis.Results The urban older adults scored (94.73±22.91) points in care perception.Multivariate linear regression analysis showed that propensity factors (previous occupation and willingness to help the other older adults), enabling factors (living with immediate family members, death of parents, number of children, access to government subsidies) and demand factors (health status) were factors affecting care perception of the older adults (all P<0.05).Conclusion The care perception of urban older adults living in communities was at a medium level.The family care was relatively good, and the social care was poor.Interventions should be tailored to the influencing factors to enhance their perception of care and improve their quality of life and well-being.