Certain people appear to tolerate stress more than others. To shed light on variations in the older adults' tolerance to stress and the reasons behind it, factors which act as moderators should be examined. Objective: Determine factors associated with distress tolerance among community dwelling older adults. Setting: Somoha health insurance outpatient clinics, Alexandria Governorate, Egypt. Subjects: 168 older adults were recruited. Tools: Three tools were used for data collection: 1) Socio-demographic and clinical data structured interview schedule of community dwelling older adults, 2) Factors associated with distress tolerance structured interview schedule of community dwelling older adults, and 3) The Distress Tolerance Scale (DTS). Results: The present study findings showed that the study subjects showed low scores of distress tolerance on the whole which is significantly related to different individual variables. Conclusion: Distress tolerance among the study subjects is significantly associated with personal characteristics, living arrangement, health history, life style patterns, psychological status, and spiritual activities. Recommendations: The gerontological nurses should be oriented to all factors which could affect the older adults' appraisal of possibly stressful situations and their physical, emotional, and behavioral responses to stress and act to control them.