Objective To investigate of the status of lifestyle in drug-taking hypertensive patients in Lianyungang rural communities,and to explore the related factors. Method Subjects aged over 35 years old were recruited by cluster sampling from Lianyungang rural communities. Data were collected by epidemiological questionnaire ,blood pressure measurement and physical examination. Results A total of 1542 people were investigated,16.1% were smokers, 21.0% were alcohol drinkers, 34.1% were on high-sodium diet, 25.2% were not self - monitored blood pressure, 43.1% were felt high pressure of themselves and 78.0% were lack of exercise. Conclusion The survey of lifestyle status of hypertension patients is poor quality. The blood pressure control of the patients in middle - aged and elderly hypertensive population in Lianyungang rural community may be related to unhealthy lifestyle, suggesting that we should implement a planned, organized,targeted health education, to strengthen the health management of hypertension, and improve the quality of patient’s lives.