{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:56:00Z","timestamp":1790618160104,"version":"4.1.0"},"reference-count":44,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Veterans report greater comorbidity and psychosocial burden but have enhanced healthcare access through the Veterans Health Administration (VHA). We sought to characterize health\u2010related quality of life (HRQoL) differences between veteran and civilian cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed cancer survivors from the 2017\u20132022 Behavioral Risk Factor Surveillance System. Outcomes included fair\/poor general health, poor physical health, poor mental health, and activity\u2010limiting poor health. Sex\u2010stratified, survey\u2010weighted Poisson regression with robust variance estimated incidence rate ratios (IRRs) for day\u2010count outcomes and prevalence ratios (PRs) for binary outcomes, controlling for sociodemographic and clinical covariates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 65,613 survivors (32,710 men; 32,903 women), 11,213 men (34.3%) and 753 women (2.3%) were veterans. Male veterans were older than civilian men (\u2265\u00a075\u00a0y: 54.4% vs. 25.9%), less likely to be employed (20.1% vs. 39.6%) or be college graduates (41.9% vs. 47.5%), and frequently reported history of cerebrovascular accident (9.8% vs. 5.7%) or coronary artery disease (25.4% vs. 15.9%) (all\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Compared with female civilians, female veterans reported no differences in education, employment status, or history of chronic conditions (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&gt;\u00a00.05). Among female cancer survivors, veteran status was associated with higher prevalence of poor physical\u2010health (aPR 1.35, 95% CI 1.02\u20131.77) and poor mental\u2010health (aPR 1.45, 95% CI 1.06\u20131.98). Among males, veteran status was not associated with poor physical or mental health (all\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&gt;\u00a00.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings highlight the importance of sex\u2010responsive survivorship care integrating chronic\u2010disease management, mental\u2010health support, and social\u2010risk screening across VHA and civilian systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70596","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T16:46:04Z","timestamp":1788885964000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Service and Suffering: Comparative Analyses of Health\u2010Related Quality of Life Among Veteran and Civilian Cancer Survivors"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6455-3005","authenticated-orcid":false,"given":"Qaidar","family":"Alizai","sequence":"first","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Odysseas P.","family":"Chatzipanagiotou","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Areesh","family":"Mevawalla","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azza","family":"Sarfraz","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meher","family":"Angez","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rida","family":"Ejaz","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulaziz","family":"Elemosho","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7240-3453","authenticated-orcid":false,"given":"Sebastian","family":"Ekenze","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5912-0902","authenticated-orcid":false,"given":"R. Connor","family":"Chick","sequence":"additional","affiliation":[{"name":"Department of Surgery Womack Army Medical Center USUHS  Fayetteville North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7994-9870","authenticated-orcid":false,"given":"Timothy M.","family":"Pawlik","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Survivorship: During and After Treatment[Internet]. 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[cited 2025 Oct 30] https:\/\/www.shadac.org\/news\/fifty\u2010state\u2010analysis\u2010finds\u2010lower\u2010access\u2010care\u2010among\u2010adults\u2010less\u2010education."},{"key":"e_1_2_11_26_1","article-title":"Chronic Pain, Health\u2010Related Quality of Life, and Employment in Working\u2010Age Cancer Survivors","author":"Cox\u2010Matin E.","year":"2019","journal-title":"Journal of Cancer Survivorship"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2016.05.017"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-20842-w"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.3109\/09286586.2016.1168851"},{"key":"e_1_2_11_30_1","unstructured":"M. M.Thomas I.Harpaz\u2010Rotem J.Tsai et\u00a0al. \u201cMental and Physical Health Conditions in US Combat Veterans: Results From the National Health and Resilience in Veterans Study \u201d: Psychiatrist.com [Internet]. 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