This study aims to explore the influencing factors of the utilization of health management services among older adults and to provide a basis for guiding older adults to utilize these services proactively. Using convenience sampling，a total of 1 347 older adults aged 60 and above were selected as the survey subjects from selected cities of Jiangsu Province. Logistic regression was adopted to analyze the influencing factors of the utilization of health follow - up services and health examination services among older adults. The results show that smoking，afternoon napping，health insurance，contracting family physicians，health status， chronic disease condition，educational level and employment status have significant impacts on the utilization of health examination services. Health insurance，afternoon napping，contracting family doctors，health status， chronic disease condition，and educational level have notable impacts on the utilization of health follow - up services. Based on this，the study suggests strengthening health education to improve older adults’health literacy and guiding them to adopt healthy lifestyles. It is also vital to enhance the quality of health management services and encourage older adults to proactively utilize these services.