Abstract: Objective To investigate the situation and influencing factors of the home care service demand in housebound elderly people and to provide a theoretical basis for developing home care service and improving living quality for older people.Methods Two communities were chosen randomly in 127 communities in Tangshan city.Totally 860 residents 60 years old or elder were screened for housebound behaviour and the houseboud elderlies identified were investigated with a questionnaire survey.Results There were 149 housebound elderly people among the 860 elderly people and the prevalence rate of housebound was 17.4%.Most of the housebound elderly people chose life care(70.5%)and health care services(77.2%), and only 11.4% of housebound elderly people chose spiritual consolation.The results of non-conditional logistic regression model showed that the female, with more than two chronic diseases, without self-care ability were independently associated with the demand of life care services among the housebound elderly people.With two or more chronic diseases was independently associated with the demand of health care service.Conclusion Gender, suffering from chronic disease, self-care ability are associated with the demand of home care services among housebound elderly people and the housebound elderly people are more likely to choose life care and health care services.