{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T05:12:58Z","timestamp":1783746778724,"version":"3.55.0"},"reference-count":15,"publisher":"Japanese Association of Rural Medicine","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Rural Med"],"published-print":{"date-parts":[[2026]]},"DOI":"10.2185\/jrm.2025-077","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T22:10:34Z","timestamp":1783721434000},"page":"261-268","source":"Crossref","is-referenced-by-count":0,"title":["Differences in health self-management behaviors among residents with          illnesses across remote islands with different degrees of isolation from the          mainland"],"prefix":"10.2185","volume":"21","author":[{"given":"Natsumi","family":"Yamakawa","sequence":"first","affiliation":[{"name":"Graduate School of Biomedical Sciences, Nagasaki University,              Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rieko","family":"Nakao","sequence":"additional","affiliation":[{"name":"Graduate School of Biomedical Sciences, Nagasaki University,              Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayumi","family":"Ohnishi","sequence":"additional","affiliation":[{"name":"Graduate School of Biomedical Sciences, Nagasaki University,              Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryoko","family":"Kawasaki","sequence":"additional","affiliation":[{"name":"Graduate School of Biomedical Sciences, Nagasaki University,              Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoko","family":"Kosaka","sequence":"additional","affiliation":[{"name":"Graduate School of Biomedical Sciences, Nagasaki University,              Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"995","reference":[{"key":"1","doi-asserted-by":"crossref","unstructured":"1. Stock              R. Distance and            the utilization of health facilities in rural Nigeria. Soc Sci            Med          1983; 17: 563\u2013570.","DOI":"10.1016\/0277-9536(83)90298-8"},{"key":"2","doi-asserted-by":"crossref","unstructured":"2. Syed              ST, Gerber              BS, Sharp              LK. Traveling            towards disease: transportation barriers to health care access.            J Community Health          2013; 38: 976\u2013993.","DOI":"10.1007\/s10900-013-9681-1"},{"key":"3","doi-asserted-by":"crossref","unstructured":"3. Nemet              GF, Bailey              AJ. Distance            and health care utilization among the rural elderly. Soc Sci            Med          2000; 50: 1197\u20131208.","DOI":"10.1016\/S0277-9536(99)00365-2"},{"key":"4","doi-asserted-by":"crossref","unstructured":"4. Weiss              DJ, Nelson              A,                Vargas-Ruiz              CA, et al.            Global maps of travel time to healthcare facilities.            Nat Med          2020; 26: 1835\u20131838.","DOI":"10.1038\/s41591-020-1059-1"},{"key":"5","doi-asserted-by":"crossref","unstructured":"5. Ohnishi              M, Nakao              R, Kawasaki              R, et al.            Factors associated with failure to undergo health check-ups in Nagasaki            Prefecture, Japan. J Rural Med          2023; 18: 28\u201335.","DOI":"10.2185\/jrm.2022-046"},{"key":"6","doi-asserted-by":"crossref","unstructured":"6. Smith              KB, Humphreys              JS, Wilson              MG. Addressing            the health disadvantage of rural populations: how does epidemiological evidence inform            rural health policies and research? Aust J Rural Health          2008; 16: 56\u201366.","DOI":"10.1111\/j.1440-1584.2008.00953.x"},{"key":"7","unstructured":"7. Scheil-Adlung              X. Global evidence on          inequities in rural health protection: new data on rural deficits in health coverage for          174 countries. International Labour Organization 2015; https:\/\/www.ilo.org\/sites\/default\/files\/wcmsp5\/groups\/public\/%40ed_protect\/%40soc_sec\/documents\/publication\/wcms_383890.pdf.          Accessed December 9, 2025."},{"key":"8","doi-asserted-by":"crossref","unstructured":"8. Iwanaga              H.            Characteristics of health behavior of inhabitants in Ojika Island,            Nagasaki Prefecture. Jpn Acad Nursing Sci          1998; 18: 30\u201339.","DOI":"10.5630\/jans1981.18.1_30"},{"key":"9","doi-asserted-by":"crossref","unstructured":"9. Kosaka              S, Ohnishi              M, Kawasaki              R, et al.            Physical activity levels among elderly residents in small remote islands            in Japan. Am J Hum Biol          2025; 37: e70089.","DOI":"10.1002\/ajhb.70089"},{"key":"10","unstructured":"10. Statistics bureau of            Japan \u201c2020 Population Census\u201d. https:\/\/www.stat.go.jp\/data\/kokusei\/2020\/kekka.html. Accessed October 24,          2025."},{"key":"11","unstructured":"11. Ishikawa              H, Shimizu              Y, Yamaguchi              M. An impact of            social networks on life satisfaction among young-old people in Japan; analysis of social            networks in terms of area characteristics. Jpn J Human Welfare            Studies          2009; 2:          49\u201360."},{"key":"12","doi-asserted-by":"crossref","unstructured":"12. Tamura              K, Miyazaki              Y. Workplace            social capital, preventive health behavior, and illness coping behavior of nursing            professionals. Jpn J Health and Human Ecology          2023; 89: 3\u201314.","DOI":"10.3861\/kenko.89.1_3"},{"key":"13","unstructured":"13. Hoshi              T, Morimoto              K. Health habits and physical          healthiness. In: Lifestyle and Health. Morimoto K, Ed. Igaku Shoin, Tokyo,            1991; 66\u201373."},{"key":"14","unstructured":"14. Ministry of Health, Labour and            Welfare. Comprehensive survey of living conditions 2022.            https:\/\/www.e-stat.go.jp\/stat-search\/files?tclass=000001206293&cycle=7&year=20220.          Accessed November 1, 2025."},{"key":"15","unstructured":"15. Goto City \u201cKobetsu          Kenshin Jisshi Iryo Kikan Ichiran (List of medical institutions offering individual          examinations, in Japanese)\u201d. https:\/\/www.city.goto.nagasaki.jp\/s035\/010\/020\/020\/150\/020\/kobetu.pdf.          Accessed February 5, 2026."}],"container-title":["Journal of Rural Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/jrm\/21\/3\/21_2025-077\/_pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T04:37:09Z","timestamp":1783744629000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/jrm\/21\/3\/21_2025-077\/_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2185\/jrm.2025-077","relation":{},"ISSN":["1880-487X","1880-4888"],"issn-type":[{"value":"1880-487X","type":"print"},{"value":"1880-4888","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"2025-077"}}