With the growth of the aging population, increasing attention to the health-related aspects of tourism has become essential. This study aimed to analyze the knowledge structure of senior tourism with an emphasis on health components, using a mixed quantitative-qualitative approach through bibliometric analysis and Total Interpretive Structural Modeling (TISM). Based on 270 Scopus-indexed articles (1979–2024), the quantitative phase employed co-citation and keyword co-occurrence analyses to identify key concepts and trends, while the qualitative phase modeled causal relationships. Results revealed three main conceptual clusters: mobility, green spaces, and health crises, alongside a shift in research focus toward mental health, medical tourism, and digital interaction. The conceptual model highlighted the central role of senior and medical tourism in promoting active aging through subjective well-being and quality of life. These findings provide a foundation for developing health-oriented policies and effective tourism interventions to enhance elderly well-being.
Aggarwal, A., Hajra, V., & Kukreja, V. (2023). Senior tourism: Travel motivators and perceived constraints and risks for the elderly. Tourism Review, 79(4), 855-876. https://doi.org/10.1108/TR-09-2022-0443
Asan, K., Alrawadieh, Z., & Altinay, L. (2024). Connectedness to nature and life satisfaction of seniors: The mediating effects of tourist experience and tourist well-being. Current Issues in Tourism, 27(9), 1496-1512. https://doi.org/10.1080/13683500.2023.2213881
Barquilla, C. A. M., Lee, J., & He, S. Y. (2023). The impact of greenspace proximity on stress levels and travel behavior among residents in Pasig City, Philippines during the Covid-19 pandemic. Sustainable Cities and Society, 97, 104782. https://doi.org/10.1016/j.scs.2023.104782
Brasero-Rodríguez, E., Rueda-Extremera, M., & Cantero-García, M. (2024). Analysis of the relationships between quality of life, resilience, and life satisfaction variables in retired individuals. Journal of Ageing and Longevity, 4(3), 252-263. https://doi.org/10.3390/jal4030018
Bulut, C., & Nazli, M. (2023). Senior millionaires and their travel behaviours: The case of Turkey. Journal of Population Ageing, 16(3), 721-740. https://doi.org/10.1007/s12062-020-09297-0
Câmara, E., Pocinho, M., de Jesus, S. N., & Agapito, D. (2024). Senior tourists’ well-being, happiness, and satisfaction with life: A systematic literature review. Journal of Tourism, Sustainability and Well-being, 12(2), 87-110. https://doi.org/10.34623/jc4r-9a80
Chang, L., Moyle, B. D., Dupre, K., Filep, S., & Vada, S. (2022). Progress in research on seniors’ well-being in tourism: A systematic review. Tourism Management Perspectives, 44, 101040. https://doi.org/10.1016/j.tmp.2022.101040
Chang, P. J., Wray, L., & Lin, Y. (2014). Social relationships, leisure activity, and health in older adults. Health Psychology, 33(6), 516-523. https://doi.org/10.1037/hea0000051
Chen, C. (2006). CiteSpace II: Detecting and visualizing emerging trends and transient patterns in scientific literature. Journal of the American Society for information Science and Technology, 57(3), 359-377. https://doi.org/10.1002/asi.20317
Cheng, Z., Yan, S., Song, T., Cheng, L., & Wang, H. (2022). Adaptive water governance research in social sciences journals: A bibliometric analysis. Water Policy, 24(12), 1951-1970. https://doi.org/10.2166/wp.2022.196
Cole, S., Hua, C., Peng, S., & Wang, W. (2024). Exploring the relationship of leisure travel with loneliness, depression, and cognitive function in older adults. International Journal of Environmental Research and Public Health, 21(4), 498. https://doi.org/10.3390/ijerph21040498
Dones, I., & Ciobanu, R. O. (2024). Older adults’ experiences of wellbeing during the COVID-19 pandemic: A comparative qualitative study in Italy and Switzerland. Frontiers in Sociology, 9, 1243760. https://doi.org/10.3389/fsoc.2024.1243760
Du, H., Zhou, F., Cai, Y., Li, C., & Xu, Y. (2021). Influence of features of green spaces on health and well-being: Case study of Shanghai, China. Journal of Urban Planning and Development, 147(2), 04021008. https://doi.org/10.1061/(ASCE)UP.1943-5444.0000671
Duedahl, E., Blichfeldt, B., & Liburd, J. (2022). How engaging with nature can facilitate active healthy ageing. Tourism Geographies, 24(6-7), 1082-1102. https://doi.org/10.1080/14616688.2020.1819398
Fan, Y., Goh, E., Isa, S. M., & Yang, S. (2024). 30 years of healthy ageing research in tourism and hospitality: Research trends and implications for future research. The Service Industries Journal, 1-38. https://doi.org/10.1080/02642069.2024.2334775
Ferrer, J. G., Sanz, M. F., Ferrandis, E. D., McCabe, S., & García, J. S. (2016). Social tourism and healthy ageing. International Journal of Tourism Research, 18(4), 297-307. https://doi.org/10.1002/jtr.2048
Fong, A. Z., & Shaw, F. A. (2024). Well-being implications of mobility of care: Gender differences among US adults. Transportation Research Part D: Transport and Environment, 129, 104109. https://doi.org/10.1016/j.trd.2024.104109
Gao, X., Li, Y., Li, Y., & He, Z. (2024). Knowledge mapping of research on sustainable utilization of landscape resources: A case study of Guilin National Innovation Demonstration Zone for sustainable development in China. Chinese Journal of Population, Resources and Environment, 22(3), 326-333. https://doi.org/10.1016/j.cjpre.2024.09.011
Gedecho, E. K., & Kim, S. (2024). Mental health and well-being in tourism scholarship: A horizon 2050 paper. Tourism Review. 80(1), 108-120. https://doi.org/10.1108/TR-12-2023-0842
Geng, Y., Zhang, X., Gao, J., Yan, Y., & Chen, L. (2024). Bibliometric analysis of sustainable tourism using CiteSpace. Technological Forecasting and Social Change, 202, 123310. https://doi.org/10.1016/j.techfore.2024.123310
Huang, J., Chen, Y., Wang, J., & Xing, D. (2024). Exploring memorable tourism experiences of senior tourists: An embodied cognitive perspective. Journal of Vacation Marketing, 30(3), 361-375. https://doi.org/10.1177/13567667221139281
Hung, K., & Lu, J. (2016). Active living in later life: An overview of aging studies in hospitality and tourism journals. International Journal of Hospitality Management, 53, 133-144. https://doi.org/10.1016/j.ijhm.2015.10.008
Iamtrakul, P., Chayphong, S., & Hayashi, Y. (2024). An integrative investigation of travel satisfaction, streetscape perception, and mental health in urban environments. Sustainability, 16(9), 3526. https://doi.org/10.3390/su16093526
Jain, M., Dhir, S., & Khoa, T. (2020). TISM modelling of social enterprise ecosystem: a study in Indian context. Journal for Global Business Advancement, 13(5), 665-681. https://doi.org/10.1504/JGBA.2020.112820
Ji, W., Yu, S., Shen, Z., Wang, M., Cheng, G., Yang, T., & Yuan, Q. (2023). Knowledge mapping with CiteSpace, VOSviewer, and SciMAT on intelligent connected vehicles: Road safety issue. Sustainability, 15(15), 12003. https://doi.org/10.3390/su151512003
Kemperman, A., & Timmermans, H. (2014). Green spaces in the direct living environment and social contacts of the aging population. Landscape and Urban Planning, 129, 44-54. https://doi.org/10.1016/j.landurbplan.2014.05.003
Litwin, H., Stoeckel, K. J., & Schwartz, E. (2015). Social networks and mental health among older Europeans: Are there age effects? European Journal of Ageing, 12, 299-309. https://doi.org/10.1007/s10433-015-0347-y
Lopez, J., Perez-Rojo, G., Noriega, C., Sánchez-Cabaco, A., Sitges, E., & Bonete, B. (2024). Quality-of-life in older adults: Its association with emotional distress and psychological wellbeing. BMC geriatrics, 24(1), 815. https://doi.org/10.1186/s12877-024-05401-7
Luiu, C., Tight, M., & Burrow, M. (2018). An investigation into the factors influencing travel needs during later life. Journal of Transport & Health, 11, 86-99. https://doi.org/10.1016/j.jth.2018.10.005
Luo, J., Guo, Y., & Tian, Z. (2024). Loneliness or sociability: The impact of social participation on the mental health of the elderly living alone. Health & Social Care in the Community, 2024(1), 5614808. https://doi.org/10.1155/2024/5614808
Mendes, J., Medeiros, T., Silva, O., Tomás, L., Silva, L., & Ferreira, J. A. (2022). PERMA model of well-being applied to Portuguese senior tourists: A confirmatory factor analysis. Sustainability, 14(13), 7538. https://doi.org/10.3390/su14137538
Meng, L., Wen, K. H., Brewin, R., & Wu, Q. (2020). Knowledge atlas on the relationship between urban street space and residents’ health: A bibliometric analysis based on VOSviewer and CiteSpace. Sustainability, 12(6), 2384. https://doi.org/10.3390/su12062384
Moniz, A. I., Medeiros, T., Silva, O., & Mendes, J. (2024). Seniors book travel online: A profile study. In N. Scott, M. Guerreiro, & P. Pinto (Eds.), Managing destinations (Vol. 14, pp. 115-128). Springer. https://doi.org/10.1108/S2042-144320240000014007
Muñoz-Leiva, F., Viedma-del-Jesús, M. I., Sánchez-Fernández, J., & López-Herrera, A. G. (2012). An application of co-word analysis and bibliometric maps for detecting the most highlighting themes in the consumer behaviour research from a longitudinal perspective. Quality & Quantity, 46, 1077-1095. https://doi.org/10.1007/s11135-011-9565-3
Niclasen, J., Lund, L., Obel, C., & Larsen, L. (2019). Mental health interventions among older adults: A systematic review. Scandinavian Journal of Public Health, 47(2), 240-250. https://doi.org/10.1177/1403494818773530
Pan, Y., Fu, X., & Wang, Y. (2020). How does travel link to life satisfaction for senior tourists? Journal of Hospitality and Tourism Management, 45, 234-244. https://doi.org/10.1016/j.jhtm.2020.07.013
Patterson, I., & Balderas-Cejudo, A. (2023). Tourism towards healthy lives and well-being for older adults and senior citizens: Tourism agenda 2030. Tourism Review, 78(2), 427-442. https://doi.org/10.1108/TR-06-2022-0269
Petticrew, M., & Roberts, H. (2008). Systematic reviews in the social sciences: A practical guide. John Wiley & Sons.
Prati, G. (2022). Correlates of quality of life, happiness and life satisfaction among European adults older than 50 years: A machine‐learning approach. Archives of Gerontology and Geriatrics, 103, 104791. https://doi.org/10.1016/j.archger.2022.104791
Qi, J., Liu, Y., Wu, J., Kawagishi, H., & Liu, C. (2025). Bibliometric analysis of Hericium mushrooms for medicinal and food purposes: 1992-2023. Journal of Future Foods, 5(4), 317-330. https://doi.org/10.1016/j.jfutfo.2024.07.011
Robina-Ramírez, R., Martín-Lucas, M., Dias, A., & Castellano-Álvarez, F. J. (2023). What role geoparks play improving the health and well-being of senior tourists? Heliyon, 9(11), e22295. https://doi.org/10.1016/j.heliyon.2023.e22295
Sedgley, D., Pritchard, A., & Morgan, N. (2011). Tourism and ageing: A transformative research agenda. Annals of Tourism Research, 38(2), 422-436. https://doi.org/10.1016/j.annals.2010.09.002
Siddiqui, A. A., Lahmar, A., Singh, P., Arora, K., Samadhiya, A., & Kumar, A. (2024). Unlocking circular supply chain 4.0: Identifying key barriers through bibliometrics and TISM-MICMAC. Benchmarking: An International Journal, 32(6), 2003-2045. https://doi.org/10.1108/BIJ-10-2023-0717
Singh, S., & Dhir, S. (2022). Modified total interpretive structural modelling of innovation implementation antecedents. International Journal of Productivity and Performance Management, 71(4), 1515-1536. https://doi.org/10.1108/IJPPM-05-2020-0239
Stončikaitė, I. (2022). Baby-boomers hitting the road: The paradoxes of the senior leisure tourism. Journal of Tourism and Cultural Change, 20(3), 335-347. https://doi.org/10.1080/14766825.2021.1943419
Sun, L., & Fan, X. (2024). Research hotspots and future trends in canal-related industrial buildings. Sustainability, 16(12), 5208. https://doi.org/10.3390/su16125208
Sun, Y. (2024). Happiness and mental health of older adults: Multiple mediation analysis. Frontiers in Psychology, 14, 1108678. https://doi.org/10.1155/2024/5614808
Taloş, A. M., Lequeux-dincă, A. I., Preda, M., Surugiu, C., Mareci, A., & Vijulie, I. (2021). Silver tourism and recreational activities as possible factors to support active ageing and the resilience of the tourism sector. Journal of Settlements & Spatial Planning, 8, 29-48. https://doi.org/10.24193/JSSPSI.2021.8.04
Tavitiyaman, P., & Saiprasert, W. (2020). Medical quality and well-being perception of senior tourists. Asia Pacific Journal of Health Management, 15(2), 30-38. https://doi.org/10.24083/apjhm.v15i2.385
Vega-Vázquez, M., Rodríguez-Serrano, M. Á., Castellanos-Verdugo, M., & Oviedo-García, M. Á. (2021). The impact of tourism on active and healthy ageing: Health-related quality of life. Journal of Policy Research in Tourism, Leisure and Events, 13(3), 349-373. https://doi.org/10.1080/19407963.2020.1837844
Wang, Q., Hung, K., & Liu, C. (2023). Tourist experience and well-being of Chinese elderly tourists through intergenerational interaction with their adult children. Journal of Hospitality and Tourism Management, 57, 18-28. https://doi.org/10.1016/j.jhtm.2023.08.016
Winters, M., Voss, C., Ashe, M. C., Gutteridge, K., McKay, H., & Sims-Gould, J. (2015). Where do they go and how do they get there? Older adults’ travel behaviour in a highly walkable environment. Social Science & Medicine, 133, 304-312. https://doi.org/10.1016/j.socscimed.2014.07.006
Wu, X., Shen, Y. S., & Cui, S. (2023). Global trends in green space and senior mental health studies: Bibliometric review. International Journal of Environmental Research and Public Health, 20(2), 1316. https://doi.org/10.3390/ijerph20021316
Zhang, J. J. (2023). Leisure travel as process: Understanding the relationship between leisure travel and subjective well-being among older adults. Current Issues in Tourism, 26(20), 3306-3317. https://doi.org/10.1080/13683500.2023.2201418
Zheng, D., Huang, C., Zhao, Q., & Liu, Y. (2025). Healing tourism: An interdisciplinary review of progress, methods and healthy ageing implications. Asia Pacific Journal of Marketing and Logistics, 38(1), 101-125. https://doi.org/10.1108/APJML-10-2024-1538
Aslani Afrashteh, A., Karimi Alavijeh, M. R. & Naeli, M. (2019). Explanation of antecedents and consequences of the satisfaction of elderly tourists’ travel experience. Tourism Management Studies, 14(45), 1-34. https://doi.org/10.22054/tms.2019.34684.1981[In Persian]
Saeida Ardakani, S., Pezeshki Najaf Abadi, F., Alhosseini Almodarresi, S. M. & Hosseini, F. S. (2019). Extraction of cognitive structure of Iranian senior tourists towards lodging: Means-end chain approach. Tourism Management Studies, 14(48), 179-210. https://doi.org/10.22054/tms.2020.32161.1922[In Persian]
Shafieisabet, N. & Feyz Babaei Cheshmeh Sefidi, F. (2025). Tourism clusters and regional development: A co-authorship and collaboration network analysis. Tourism Management Studies, 20(69), 41-88. https://doi.org/10.22054/tms.2024.81969.2980[In Persian]
azizi,F . (2026). Conceptual Modeling of Senior Tourism with a Health-Oriented Approach. Tourism Management Studies, 21(73), 165-204. doi: 10.22054/tms.2025.86863.3086
MLA
azizi,F . "Conceptual Modeling of Senior Tourism with a Health-Oriented Approach", Tourism Management Studies, 21, 73, 2026, 165-204. doi: 10.22054/tms.2025.86863.3086
HARVARD
azizi F. (2026). 'Conceptual Modeling of Senior Tourism with a Health-Oriented Approach', Tourism Management Studies, 21(73), pp. 165-204. doi: 10.22054/tms.2025.86863.3086
CHICAGO
F azizi, "Conceptual Modeling of Senior Tourism with a Health-Oriented Approach," Tourism Management Studies, 21 73 (2026): 165-204, doi: 10.22054/tms.2025.86863.3086
VANCOUVER
azizi F. Conceptual Modeling of Senior Tourism with a Health-Oriented Approach. Tourism Management Studies. 2026;21(73):165-204 (In Persian). doi: 10.22054/tms.2025.86863.3086