Abstract: Objective To investigate the status of hypertension compliance as well as their influence factors in hypertensive rural residents of Lian Yungang so as to provide evidences for the prevention and treatment. Methods With two -stage sampling, 1306 hypertensive patients with antihypertensive medication from Lian Yungang were surveyed with general data questionnaire and The Morisky Adherence Questionnaire (MAQ). SPSS 16.0 statistical software was used for data analysis. Univariate χ2 test and binary logistic regression model were used to analyze all kinds of key factors. Results The compliance of patients with hypertension is 27.8%. The logistic regression analysis showed that the main effect factors influencing the compliance were gender , age, degree of education, career , monthly income , marital status ,family history of hypertension and course of disease. Conclusion The rate of compliance is relatively low in rural area of Lian Yungang. Hypertension treatment should consider all factors and take the right intervention measures to improve the compliance of patients with hypertension.