The elderly will experience many physical and mental changes that can affect the incidence of hypertension. However, the results of several studies were different regarding what factors can affect elderly hypertension, so this can be used as a reference for further research. This study aims to determine what factors can influence the incidence of hypertension in the elderly at Panti Jompo Sabar Hati Banyuanyar. This study used a cross-sectional design with 84 elderly people at the Panti Jompo Sabar Hati Banyuanyar, Indonesia. The samples were collected using a total sampling technique. The tools used in this study were characteristic distribution instruments consisting of age, gender, family history, and lifestyle questionnaires consisting of histories of smoking and physical activity. The data analysis used was the chi-square test and multiple logistic regression tests. The Chi-Square test results showed no relationship between physical activity (p 0.418 and OR 1.600) and age (p 0.772 and OR 1.292) with the incidence of hypertension in the elderly. The results of the Chi-Square test also showed that there was a significant relationship between gender (p 0.028 and OR 0.309), family history of hypertension (p 0.018 and OR 3.316), and history of smoking (p 0.045 and OR 3.061) with the incidence of elderly hypertension. In conclusion, there is a relationship between gender, family history, and smoking history with the incidence of hypertension in the elderly. However, there is no relationship between age and physical activity with the incidence of hypertension in the elderly.