Comparisons of Health Promoting Behavior, Depression, and Life Satisfaction Between Older Adults in Rural Areas in South Korea Living in Group Homes and at Home

J Nurs Res. 2019 Jun;27(3):e21. doi: 10.1097/JNR.0000000000000290.


Background: In South Korea, population aging is advancing at a more rapid rate in rural areas than urban areas, leading to a particularly high percentage of rural-dwelling older adults.

Purpose: The aim of this study was to examine and compare health promoting behaviors, depression, and life satisfaction between rural-dwelling older adults who live, respectively, in group homes and at home.

Methods: A cross-sectional descriptive study design was employed. Study participants included 160 older adults aged 65 years and older who were living in group homes (n = 80) and at home (n = 80) in Gyeonggi province, South Korea. The Health Promotion Lifestyle Profile-II was used to examine health promoting behaviors, the Korean Geriatric Depression Screening Scale was used to examine depression, and the Life Satisfaction Index was used to examine life satisfaction. Data were analyzed using SPSS Version 21.0.

Results: The data showed significant differences between the two groups in terms of health promoting behaviors (t = -9.035, p < .001), depression (t = 20.861, p < .001), and life satisfaction (t = -12.153, p < .001).

Conclusions/implications for practice: The mean scores for health promotion behaviors and life satisfaction were higher, and the mean score for depression was lower in the group-home group than the at-home group. The findings from this study may be employed as basic data for establishing residence-appropriate nursing intervention protocols for older adults living in rural areas.

MeSH terms

  • Activities of Daily Living*
  • Aged
  • Aged, 80 and over
  • Depressive Disorder / epidemiology*
  • Depressive Disorder / nursing
  • Depressive Disorder / psychology
  • Female
  • Group Homes*
  • Health Services for the Aged
  • Humans
  • Male
  • Nursing Research
  • Personal Satisfaction*
  • Psychometrics
  • Republic of Korea / epidemiology
  • Rural Population