Abstract: Objective：To investigate the sleep status of elderly hypertensive patients stratified into the group of high risk or above in a community. Methods：1 606 patients aged over 65 years were selected from the hypertension database of Gumei Community Health Service Center, Minhang District, Shanghai, including 757 males and 849 females. General information about the subjects was collected, such as name, sex, age, history of diabetes, blood pressure, sleep quality and other related diseases. Pittsburgh Sleep Quality Index (PSQI) was used to investigate the population. Results：The age of the subjects ranged from 65 to 80 years, and the mean age was 72 years. 43.2% of the patients had sleep disorders. The average PSQI score was 7.61±3.23. The prevalence was 37.1% in the males and 48.5% in the females. The PSQI score was 7.09±2.95 in the males and 8.07±3.39 in the females (P＜0.05). In terms of age, the prevalence of sleep disorders among the group of 65 to 69 years, the group of 70 to 74 years and the group of older than 75 years was 40.1%, 42.6%, and 49.4%, respectively. The percentage of sleep disorders in patients with diabetes and those without diabetes was 45.4% and 42.3% (P＜0.05). In characterizing the sleep disorder, 51.2% of the patients had difficulty falling asleep frequently, 54.8 % of them spent more than six hours in bed but most of these patients (over 95%) had a low sleep efficiency, staying awake about one third (35%) of the time in bed. In the treatment of sleep disorders, less than one-third of the patients took sleeping pills, and about 13% of them took sleeping pills regularly. In evaluation of the impact of sleep disorders, nearly 40% of the patients had daytime dysfunction. Conclusions：Among the elderly hypertensive patients stratified into the group of high risk or above, sleep disorders are common. Female, advanced age and diabetes are risk factors to sleep disorders. But at present, there are few methods to solve this problem, which may have adverse effects on cardiovascular events.Which should be paid attention to health workers.