{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T10:14:38Z","timestamp":1790072078353,"version":"4.0.1"},"reference-count":39,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T00:00:00Z","timestamp":1749081600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp;amp; Neck"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>US Veterans experience higher rates and worse outcomes for head and neck squamous cell carcinoma (HNSCC) compared to civilians. Geographic and socioeconomic barriers remain unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective descriptive study analyzed VA data nationwide (2012\u20132022), identifying Veterans with HNSCC using ICD codes. Subsites included oral cavity, oropharynx (OPC), hypopharynx, larynx, and nasopharynx. Rurality, deprivation, and travel distances were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 75,453 Veterans with HNSCC, 36% lived in rural areas, with travel times of 94\u2009min to tertiary VA facilities. Approximately 32% had high deprivation (area deprivation indices [ADI] \u2265\u200975). OPC cases increased from 26.3% in 2012 to 46% in 2022, while laryngeal cancers declined. OPC patients were less deprived (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) but had similar travel distances and rurality compared to non\u2010OPC patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Overall, Veterans experience high deprivation, long travel times, and over one\u2010third live in rural communities, highlighting potential barriers to access and equity among Veterans with HNSCC.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.28209","type":"journal-article","created":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T05:55:14Z","timestamp":1749102914000},"page":"2845-2855","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Geographic and Socioeconomic Landscape of Veterans With Head and Neck Cancer"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7945-3285","authenticated-orcid":false,"given":"Kristen L.","family":"Zayan","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery University of Pittsburgh Medical Center  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"McCoy","sequence":"additional","affiliation":[{"name":"Office of Research and Development Veteran's Affairs Pittsburgh Healthcare System  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique Y.","family":"Boudreaux\u2010Kelly","sequence":"additional","affiliation":[{"name":"Office of Research and Development Veteran's Affairs Pittsburgh Healthcare System  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chad","family":"Brenner","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Michigan Hospital  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary","family":"Hahn","sequence":"additional","affiliation":[{"name":"Department of Medicine Togus Veteran's Affairs Medical Center  Augusta Maine USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9111-6767","authenticated-orcid":false,"given":"Jose P.","family":"Zevallos","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; 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