Objective  To explore the status and influencing factors of quality of life (QoL) among elderly hypertension patients in Sheihezi region of Xinjiang Uygur Autonomous Region for providing references to health management in the population.

  Methods  We conducted a face-to-face questionnaire survey among 1 277 elderly primary hypertension patients aged≥60 years and selected with typical sampling from three communities and two towns in Shihezi region between April and September 2016. Euro Qol 5 Dimension (EQ-5D) and a self-designed questionnaire were used in the study.

  Results  The number (proportion) of the participants reporting problems in EQ-5D dimension of mobility, self-care, usual activities, pain/discomfort, and anxiety/depression were 332 (26.03%), 138 (10.80%), 215 (16.81%), 538 (42.14%), and 196 (15.30%), respectively. The mean score of the participants for self-evaluated health was 67.09 ± 17.287. Of the participants, 23 (1.80%), 71 (5.60%), 438 (34.30%), 575 (45.00%), and 170 (13.30%) had the EuroQol-Visual Analog Scale (EQ-VAS) score of 0 – 20, 21 – 40, 41 – 60, 61 – 80, and 81 – 100, respectively. Multivariate unconditional logistic regression analyses revealed that the female participants were more likely to have poor QoL in all dimensions of EQ-5D, except for self-care; the participants with complications were more likely to have poor QoL in all dimensions of EQ-5D, except for anxiety/depression; the participants aged≥75 years were more likely to have poor QoL in dimensions of mobility, self-care, and usual activities; the participants with the education of primary school or higher were more likely to have poor QoL in mobility and those with primary school education were likely to have poor QoL in self-care; and the participants with the hypertension duration of≥15 years were likely to have poor QoL in anxiety/depression; whereas the participants having physical exercise were more likely to have a better QoL in all dimensions of EQ-5D and the participants living in farms managed by Xinjiang Production and Construction Corps and having medical security for urban residents were more likely to have a better QoL in self-care.

  Conclusion  The overall quality of life is relatively poor and mainly influenced by gender, age, education, residential area, physical exercise, medical insurance, complications and disease course among elderly hypertensive patients in Shihezi region.