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Objective: To understand the mental health status and its influencing factors of the elderly in the disaster area 5 years after the Lushan earthquake. Methods: A total of 2,579 cases of Ya’an residents aged 60 years or above were selected by using cluster sampling method. From January to May 2019, self-compiled questionnaire for basic information of affected residents and 12 General Health Questionnaire were used to assess the mental health status of the elderly. Results: 2,561 (99.3%) valid samples were collected. The positive rate of mental health was 220 (8.6%) cases. The binary logistic regression analysis showed that in the city, no chronic diseases, no body pain, and self-rated health status good in last one month was the protective factor for mental health of the elderly. Age group 60 years and above was the risk factor. Conclusions: Five years after the Lushan earthquake, there is a certain degree of mental health problems in the elderly in the disaster area, and corresponding intervention measures should be formulated. In particular, the researchers should pay more attention to the mental health of the rural elderly who were with low income, young age, and chronic diseases (or pain).