This article analyzes the intention of urban Chinese elderly in purchasing long-term care insurance using data from the 2010 China Longitudinal Survey of the Situation of Urban and Rural Older People．Bivariate and multivariate analyses are conducted to examine the factors affecting the elderly intention of purchasing long-term care insurance．The results show that there is no strong intention of purchasing long-term care insurance for urban older people，and there is a high adverse selection．Sociodemographic，economic，alternatives，health and awareness factors significantly affect the intention of urban older people in purchasing long-term care insurance．Policy implications are discussed for strengthening long-term care insurance in China．