Abstract:Objective To investigate the elderly-oriented level of home environment among rural community older adults and analyze its influencing factors, so as to provide reference for promoting the elderly-oriented transformation of the home environment for this population. Methods A total of 738 community older adults in Hebei province were selected using stratified random sampling method, then they were investigated using the elderly-oriented level of home environment questionnaire. Results The score of the elderly-oriented level of home environment of the older adults was (267.09±32.14), when the average score of the questionnaire was used as the cutoff point, 48.78% elderly were in the high-bounded group, and other 51.22% were in the low-bounded group.The dimension score of home environment from low to high were: indoor activities, bathing, decoration, toilet, entrance and exit, laundry, supporting environment, rest, and meal preparation/meal. The multiple linear stepwise regression analysis showed that residential area, living in buildings or not, educational background were the main influencing factors for the elderly-oriented level of home environment among rural community older adults (P<0.05,P<0.01), which accounted for 27.80% of the total variance. Conclusion The elderly-oriented level of home environment among rural community older adults is at medium or above, residential area, living in buildings and educational background are its major influencing factors. It′s necessary to strengthen the infrastructure construction of the country and non-building residential areas, especially to improve the indoor activity related facilities in the home environment, so as to increase the elderly-oriented level of home environment for community older adults.