Evidence map›Paper›PMID 42846479›Full record

ArticleFrontiers in health services2026

Perceived social support and life engagement among older adults using thermal health tourism services: the moderating role of aging anxiety.

Kadriye Sönmez

Abstract read
In one paragraph

Article in Frontiers in health services, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Kadriye SönmezMedical Documentation and Secretarial Programme, Plato Vocational School, Istanbul Topkapi University, Istanbul, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Life engagement is a central dimension of psychological functioning in later life. Its association with perceived social support varies across levels of aging-related concern, and evidence from thermal health tourism settings remains limited. Objective: This study examined the associations of perceived social support and aging anxiety with life engagement among older adults using thermal health tourism services, including the interaction between perceived social support and aging anxiety. Source-specific support analyses described the relative contributions of significant-other, family, and friend support. Methods: This cross-sectional study used 415 deduplicated questionnaires from adults aged 65 years and older at one thermal health tourism facility. Scale scores required at least 80% item completion. Pearson correlations and ordinary least squares regression with HC3 heteroskedasticity-consistent standard errors formed the primary analysis. Robust regression, median quantile regression, bootstrap estimation, strict complete-item scoring, source-specific models, dominance analysis, and commonality analysis provided sensitivity and secondary results. The primary adjusted model included 384 complete cases. Results: Perceived social support was positively associated with life engagement [b = 0.106, 95% CI (0.048, 0.164), Conclusion: Among voluntary users of one thermal health tourism facility, higher perceived social support and lower aging anxiety were associated with higher life engagement. The support-life engagement association was smaller at higher aging-anxiety levels. The cross-sectional interaction was modest and sensitive to the missing-item rule and conditional-distribution model.

Indexed as

aging anxietylife engagementmoderated regression analysisolder adultsperceived social supportthermal health tourism

Identifiers

PMID42846479
PMCPMC13642745

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.