Understanding how antibiotic resistance genes (ARGs) are distributed in drinking water treatment processes is important due to their potential public health risk. Little is known about the occurrence and distribution of ARGs in typical drinking water treatment processes, such as sand settling reservoirs (SSRs) and drinking water treatment plants (DWTPs), in the Yellow River, especially at the catchment scale. In this study, ARG profiling was investigated from water samples of influent (river water) and effluent (source water) of SSRs and finished water of DWTPs in six cities along the Yellow River catchment using real-time quantitative polymerase chain reaction (qPCR) and 16S rRNA gene sequencing. Seventeen ARGs and two mobile genetic elements (MGEs) were detected, among which aadE, strA, strB, tetA, sulII, intl1, and Tn916 had high detection rates (over 80%). The absolute abundances (gene copies/mL of water) of ARGs were reduced by the SSRs and DWTPs generally, but no reductions were observed for the relative abundances (gene copies/16S rRNA gene) of ARGs. Spatial distributions of ARGs and bacteria were not observed. The distribution of bacterial genera was clustered into four dominant patterns in different water type samples. The bacterial genera Pseudomonas, Massilia, Acinetobacter, Sphingomonas, Methylobacterium, and Brevundimonas dominated the finished water, with Brevundimonas and Methylobacterium being speculated to be potential hosts for two ARGs (strA and strB) through network analysis. The enrichment of these two genera, likely caused by selection of disinfection process, may contribute to the higher relative abundance of ARGs in finished water. This study provides insight and effective assessment of the potential risk of ARGs in drinking water treatment processes at the catchment scale.