Objective To examine the prevalence,disease spectrum of non-communicable chronic diseases and its risk factors among the elderly residents in Xiamen.Methods The elderly residents aged 60 or over in Xiamen were selected by stratified randomly sampling to analyze the spectrum of chronic disease.The data were analyzed by x2 test,trend x2 test and unconditional logistic regression.Results A total of 14292 elderly were investigated.The prevalence of chronic diseases was 63.3 ％.With the age increasing,the prevalence was also increased,the female residents had a higher prevalence compared with male,and the city was higher than the rural area(P ＜0.001).While suffering from two or more chronic diseases accounted for 31.9 ％.The top 5 of the most prevalent chronic diseases were osteoarthritis (30.5 ％),hypertension (30.1％),diabetes mellitus (9.7 ％),heart disease (7.9 ％),and gastrointestinal disease (7.6％).Sex,age,residence,marital status,loneliness,self-rated health are the influencing factors of the elderly in Xiamen.Conclusion More attention should be paid to the impact of osteoarthritis,hypertension,diabetes,heart disease and gastrointestinal gallbladder disease on the health of the elderly,especially osteoarthritis,and targeted to multiple chronic diseases comprehensive prevention and control and management.