Abstract - Objective: The purpose of this study was to examine smoking status and the relates factors in the rural elderly. Methods: This study was conducted with 2,421 elderly people(male 1,273 and female 1,148) residing in the selected 25 villages, and face-to-face interviews with the subjects were made from January 1 through March 30, 2002. Results: The average age of the male subjects was 72.7 and that of the female subjects 72.8. The investigation of smoking states showed that for male subjects, smokers accounted for 49.4%, nonsmokers 26.9%, and abstainers from smoking 23.7% and that for female subjects, smokers accounted for 18.3%, nonsmokers 75.4%, and abstainers from smoking 6.3%. The level of ?low ADL? was significantly higher in abstainers. In men, smoking rate had higher in alone, non-job, queerstreet, 「high ADL」. In women, smoking rate had higher in younger age, queerstreet, unhealthy, 「high ADL」. Conclusions: The smoking rate of the elderly was relatively high, especially at abstainers. The smoking status of elderly was correlated with age, family type, job, economic status by self-assessment, Self-recognition of health status, ADL level.