Abstract: Objective To investigate the self-rated health status and influencing factors among the elderly in Jianyang City. Methods Based on the household health survey in 2015, the elderly aged 60 years and over were included in the analysis. Multi-level logistic model based on the level of town, family and individual was applied to examine the factors influencing the elderly's self-rated health. Results Among the 6 525 old people included in the study, 2 013(30.9%) individual evaluated their health status as good, 3 389(51.9%) as general, 1 123(17.2%) as poor. Multilevel model indicated that the self-rated health clustered in town and family level. Age, education, marriage, chronic disease, reporting illness within 2 weeks, depression, smoking, drinking, acquiring health knowledge, utilization of preventive service, family relationship and living condition were influencing factors of self-rated health in old people. Conclusions The self-evaluated health is affected by various factors.More attention should be paid to the elderly with low education level, poor living condition, poor health situation, lack of health care awareness, weak social support and depression. Comprehensive interventions on the level of region, family and individual should be considered to promote the health condition of the elderly.