Objective To explore the status and influencing factors of health poverty among the elderly in rural areas of Sichuan in the post poverty alleviation era.Methods By using the method of multi-stage sampling,a questionnaire survey was conducted among 606 rural elderly persons in Sichuan from July to August,2022.Chi-square test and multivariate logistic regression analysis were used to explore the influencing factors of health poverty.Results Among the 606 persons,167(27.6%)were in health poverty.The results of multivariate analysis showed that age(OR=1.655,95%CI:1.250-2.191),number of chronic diseases(OR=1.864,95%CI:1.510-2.301)and physical function limitation(OR=1.890,95%CI:1.353-2.640)were the risk factors,while.the number of daughters(OR=0.739,95%CI:0.593-0.920)and labor intensity in the past year(OR=0.498,95%CI:0.343-0.722)were protective factors for health poverty in the rural elderly.Conclusion The rural elderly in Sichuan still have a high risk of health poverty,especially the elderly who are aged,suffer from multiple chronic diseases,have serious disability,have little labor intensity,and have few daughters are the high-risk groups of health poverty,which needs to be paid attention to.