Purpose: This study was purposed to provide basic data for developing future health promotion programs by comparing health-promoting behavior, life satisfaction and self-esteem between the Korean elderly and the American-Korean elderly. Methods: The subjects were volunteer participants of 120 elders in the Gyeongsan City in Korea and 120 elders in the state of Washington in the U.S. Tools used in this study were Health Promoting Lifestyle Profile (47 items), Life Satisfaction Scale (20 items) and Self-Esteem Scale (10 items). To analyze data, this study used frequency, percentage, chi-square test, t-test, Kendal tau test, Pearson's correlation coefficient with SPSS program. Results: 1) The average score of health-promoting behaviors was 3.21 in Koreans and 3.50 in American-Koreans, showing a significant difference between the two groups. 2) The sub-scales that got the highest score of health-promoting behaviors were self-actualization and nutrition(M=3.41) in Koreans and nutrition(M=3.61) in American-Koreans, and that with the lowest score was exercise in both groups(2.89 in Koreans and 3.02 in American-Koreans). 3) The average score for life satisfaction was 2.76 in Koreans and 3.06 in American-Koreans, showing a significant difference between the two groups. 4) The average score for self-esteem was 3.39 in Koreans and 3.09 in American-Koreans, showing a insignificant difference between the two groups. 5) Health-promoting behaviors were positively related to life satisfaction and self-esteem. Life satisfaction was positively related to self-esteem in both groups. Conclusions: According to the results of this study, the health-promoting behaviors of Korean and American-Korean elders strongly correlated with life satisfaction and self-esteem. Therefore, health promoting programs that enhance life satisfaction and self-esteem should be developed in order to promote the elderly's healthy lifestyle.
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