Abstract:Objective：Analyze the current situation and population distribution characteristics of chronic comorbidities among elderly residents aged 60 and above in Zhangjiagang City，to provide reference for optimizing the management strategies of elderly chronic comorbidities in the sample area and even in rural areas across the country. Methods：Collect health examination data from 1，849 elderly residents aged 60 and above in the area in 2020，and conduct descriptive statistical analysis on the prevalence of chronic comorbidities. Use χ2 test to analyze the prevalence of different characteristics of elderly residents. Results：The prevalence rate of chronic diseases among the study subjects is 86.5%，and the comorbidity rate is 55.2%. The highest comorbidity combination of chronic diseases is the lumbar osteopenia+hypertension group（14.3%）. The differences in comorbidity among elderly people with different genders，BMI，and chronic disease management are statistically significant. Conclusion：The issue of chronic comorbidities among elderly rural residents in Zhangjiagang City needs to be taken seriously. Hypertension and lumbar osteopenia are key chronic diseases that should be prevented and treated in this area. Women，overweight or obese residents should be targeted for prevention and treatment. It is recommended to take comprehensive prevention and control measures and optimize chronic disease management strategies.