Abstract:Objective To analyze the depression and its influencing factors among elderly hypertensive patients in China based on the 8th round Chinese Longitudinal Healthy Longevity Survey (CLHLS) data. Methods A total of 5 210 hypertensive patients aged ≥65 years having survey results of 10-item Center for Epidemiologic Studies depression scale (CES-D-10) were enrolled according the 8th round CLHLS data. The depression was identified by the total score of CES-D-10≥10. Covariates such as demographic characteristics, social factors, living habits, and health status were included. Multiple imputation was used to fill in the missing data, and binary logistic model was used to analyze the influencing factors of depression of elderly people with hypertension. Results The prevalence of depression among the 5 210 elderly people with hypertension was 12.84% (669/5 210). The logistic regression analysis showed that male (odds ratio[OR]=1.355), poor (OR= 3.132), and activities of daily living (ADL) dysfunction (mild: OR=1.894; severe: OR=2.951) were risk factors of depression in the elderly people with hypertension, while age≥90 years old (90-99 years old: OR=0.527; ≥100 years old: OR=0.517), being rich (OR=0.701), doing exercise (OR=0.551), and long sleep duration≥6 h (6.0-7.9 h: OR=0.286; 8.0-9.9 h: OR= 0.203; ≥10.0 h: OR=0.205) were protective factors (P<0.05). Conclusion Depression is found in 12.84% of elderly patients with hypertension. The elderly patients with hypertension, who are male, age<90 years old, with low income and ADL dysfunction, and sleep time<6 h, without physical exercise habits, are more likely to have depression.