Public transportation is important for older adults to meet their mobility needs and obtain external support. However, little is known about the elderly population with disabilities using public transportation. Using a nationally representative sample from the China Family Panel Studies (CFPS) for 2016, 2018, and 2020, we examined the elderly and public transportation disability (E&PTD) rate and its determinants in Chinese adults aged 45 years and above; the E&PTD rate in this population was 9.65%. The results showed that factors such as being female, age, and family size increased the likelihood of E&PTD in older adults. Married older adults with more education, better intelligence, higher incomes, receiving a pension, and living in urban areas and pilot provinces of healthcare reform were less likely to have E&PTD. This study provides an important policy reference for providing better public transportation services for E&PTDs. •The elderly and public transportation disability (E&PTD) rate is 9.65%.•Being female, age, and family size increases the likelihood of E&PTD.•Married older adults with more education is less likely to have E&PTD.•Receiving a pension, and living in urban areas is less likely to have E&PTD.