• health-promoting behavior;
  • noninstitutionalized;
  • institutionalized;
  • Korean elderly;
  • older adults

Purpose: To compare the health-promoting behaviors of noninstitutionalized and institutionalized Korean older adults.

Design: Descriptive survey.

Methods: The study sample included 214 Korean older adults (108 noninstitutionalized and 106 institutionalized) aged 65 years or over living in Seoul and Daegu, Korea. Data were collected from April to August, 2003. Measures were the Health Promoting Lifestyle Profile (HPLP), the Rosenberg Self-Esteem Scale (RSES), and the General Self-Efficacy Scale.

Findings: The average scores for HPLP, self-esteem, and self-efficacy of noninstitutionalized older adults were higher than those of institutionalized participants. Noninstitutionalized participants also scored significantly higher than did the institutionalized participants on self-esteem and self-efficacy.

Conclusions: Studies were focused on the effects of various nursing interventions for health promotion are needed for older adults, especially those in institutions.