了解江苏省农村老年人生存状况和健康现状，从积极老龄化视角，探讨可采取的养老措施，为江苏省农村地区养老政策的完善和有效落实提供决策依据。

采用自编问卷对江苏省农村老年人生存状况和健康现状进行多阶段分层抽样调查，并进行描述性分析。

农村老年人慢性病患病率前三位：高血压、骨关节病、心脑血管疾病；慢性病患病比例达67.93%，2种及以上慢性病患病比例39.67%；日常生活活动能力中部分项目完成度一般；43.84%的老年人可以给子女生活支持；37.68%的老年人可以给子女经济支持；54.35%的老年人与子女不在一起生活；15.58%的老年人无养老保险；12.5%的老年人需要生活照料，主要照料者是配偶（49.28%）与子女（44.93%）。

农村老年人健康状况较差，应加强健康管理，重视健康需求；家庭活动参与程度较高，应针对老年群体提供必要社会支持；养老保障水平不高、应制定符合国情的农村养老保障政策。

To analyze the living and health conditions of rural elderly people in Jiangsu Province and discuss measures that can be taken to improve and implement the elderly care policy in rural areas from the perspective of positive aging.

A multi-stage stratified sampling survey was conducted on the living and health conditions of rural elderly people in Jiangsu Province using a self-written questionnaire, and descriptive analysis was performed to analyze the data.

The top three prevalent chronic diseases among the elderly in rural areas were hypertension, osteoarthritis, and cardiovascular and cerebrovascular diseases. The prevalence of chronic diseases was 67.93%, and the prevalence of two or more chronic diseases was 39.67%. The degree of project completion was fair. Of all the elderly people surveyed, 43.84% can provide living support to their childre, 37.68% can provide financial support to their children, 54.35% did not live with their children, 15.58% had no pension insurance, and 12.5% needed life care, with the main caregivers being spouses (49.28%) and children (44.93%).

The health conditions of the elderly in rural areas is poor, we should strengthen the health management of the elderly should be strengthened and their health needs should be met. The rural elderly have a high degree of participation in family activities, and necessary social support should be provided for them. The level of old-age pension security is not high, and rural old-age pension security policies in line with national conditions should be formulated.