Objective To examine the current status of active health behavior capability and its influencing factors among housebound disabled older people. Methods A total of 282 older people with ADL disability were selected from six communities in three districts of Chongqing using a multi-stage random sampling method. Participants were asked to fill out a self-designed active health behavior capability assessment for the housebound disabled elderly. Results Among the 282 participants, 226 (80.1%) had mild disability, 29 (10.3%) had moderate disability, and 27 (9.6%) had severe disability.The overall score for active health behavior capability was (3.22±0.49). Multiple regression analysis identified marital status, degree of disability, understanding of active health, regular health check-ups, respect from caregivers, participation in social activities, health awareness, independence awareness, life satisfaction, and attitudes toward death were factors influencing the active health behavior capability of house bound older people (all P<0.05). Conclusion The active health behavior capability of housebound older people is at a moderate-to-low level, which is affected by multiple factors. It is necessary to leverage the roles of government, families, communities, and professional caregiving institutions to enhance the active health behavior capability of this population.