Abstract: Objective To understand the current situation and influencing factors of home environment safety of the elderly in Urumqi,provide a reference basis for the aging-friendly renovation of the elderly home environment. Methods A total of 545 elderly people in eight communities in Urumqi were selected by stratified whole-group sampling method,and a household survey was conducted from August 2021 to March 2022 using the home environment safety assessment questionnaire. Results The mean score of home environment safety for the elderly was （103.07±7.78）points. According to the mean score,the low group accounted for 48.81%,and the high group accounted for 51.19%. The mean scores of each dimension entry in descending order were （1.43±0.59）points for doors and windows,（1.98±0.23）points for bathrooms,（2.20±0.27）points for kitchens,（2.51±0.26）points for bedrooms,and scores ofclothes and shoes were（2.69±0.29）points. The linear stepwise regression analysis revealed that the number of people with mobility impairment at home（β=-1.974）,self-rated environmental safety（β=2.148）,education level（β=0.499）,housing area（β=2.889） and marriage（β=-1.095） were the factors influencing the level of environmental safety at home for the elderly. Conclusion The home environment safety level of urban elderly people in Urumqi is at a medium to low level,and it is necessary to pay high attention to the home environment of elderly people with high number of mobility problems,poor self-assessed environment,low education level,small housing area and unaccompanied elderly people,and provide them with corresponding environmental improvement measures to improve their home safety level.

Key words: The elderly, Home environment, Safety assessment, Influencing factors