Objectives: As attention of the elderly is progressing rapidly in developing countries in recent years, special attention to their mental and physical needs are necessary. The aim of this study was to comparing general health and loneliness between two groups of the elderly, one who live with their families versus those who live in nursing homes in north part of Tehran, Iran.

Methods & Materials: This is a cross-comparative research. Sample consisted one hundred eighty elderly, age 65 and over (96 male, 84 female, 103 living in nursing homes and 77 living with their families) with average of 73 years old and standard deviation 8 were selected. The sample was drawn by means of available method. General Health Question (GHQ) and loneliness questionnaires were administered. Data were analyzed by means of two way analysis of variance.

Results: Findings showed that there were significant difference between general health of two groups. (F(1.176)=19.53, P=0.0001) (General health of the elderly living in nursing homes was significantly lower than the elderly living with their families. 

Results: results showed that there were significant difference between loneliness of two groups (F(1.176)=105.5, P=0.0001). Loneliness of the elderly living in nursing homes were significantly more than the elderly living with their families. Moreover results showed that there was a significant difference between males and females in loneliness (F(1.176)=15.84, P=0.0001), also analysis showed that the male elderly had lonely feelings more than the female elderly.

Conclusion: Results of this study showed that living with member’s family has positive effect on physical and mental health of the elderly. With respect to psycho-cultural situation of the elderly in Tehran, Iran, living with their family, may be considered as a better place in obtaining a better health and psychological values.