Tobacco use, and thus tobacco-related morbidity, is elevated amongst patients with behavioral health treatment needs. Consequently, it important that centers providing care to this group mandate providers’ use of tobacco screenings inform the need for disorder intervention. This study examined prevalence mandated in 80 Texans needs, key factors could enhance screening conduct, delineated perceived barriers intervention provision. The results indicated 80% surveyed screenings; those did were...

Evidence-based smoking cessation interventions are underused settings where behavioral health treatment is provided, contributing to smoking-related disparities in this patient group. This study assessed the relationship of provider's beliefs about patients' smoking, perceptions capability, and knowledge referral options their use 5A's (Ask, Advise, Assess, Assist, Arrange) intervention for cessation. Surveys were collected from providers healthcare Texas patients receive care (N = 86; 9...

Abstract Background People with substance use disorders smoke cigarettes at much higher rates than the general population in United States and are disproportionately affected by tobacco-related diseases. Many treatment centers do not provide evidence-based tobacco cessation or maintain comprehensive tobacco-free workplace policies. The goal of current work is to identify barriers facilitators a successful sustainable implementation program, which includes policy services, center. Methods...

Tobacco-free workplace policies (TFWPs) are underused evidence-based interventions that reduce the elevated use of tobacco among substance treatment center (SUTC) employees and patients. SUTC employees' anticipated concerns about stakeholder pushback barriers to TFWP adoption. Examination discrepancies between actualized employee-reported arising from coworkers, patients, community members in context leadership cessation care availability for may inform strategies increase uptake. This study...

Tobacco use treatment is not prioritized in substance centers (SUTCs), leading to tobacco-related health inequities for patients with disorders (SUDs) and necessitating efforts enhance providers' care provision. Training providers on how treat tobacco increases their intervention patients' smoking, but limited work addresses its effects non-cigarette This study redressed this gap using data from 15 unaffiliated SUTCs Texas (serving 82,927 patients/year) participating a tobacco-free workplace...

People with substance-use disorders have elevated rates of tobacco use compared the general population, yet rarely receive tobacco-dependence treatment within settings (SUTS). One barrier to delivering evidence-based interventions in SUTS is providers’ misconception that treating and non-nicotine substance concurrently jeopardizes clients’ recovery, although research indicates it enhances support for recovery relapse prevention. A total 86 providers employed (i.e., 9 Federally Qualified...

Rates of non-cigarette (colloquially, other) tobacco use is elevated among adults with behavioral health conditions. Little known about whether providers are using brief interventions, including the evidence-based 5As (Ask, Advise, Assess, Assist, and Arrange) for other use, or what provider factors may be associated these interventions. The current study redressed this gap. Overall, 86 in Texas (9 Federally Qualified Health Centers, 16 Local Mental Authorities (LMHAs) that provide a broad...

Many adults with a substance use disorder smoke cigarettes. However, tobacco is not commonly addressed in treatment centers. This study examined how provider beliefs about addressing during non-nicotine treatment, self-efficacy delivering assessments, and perceived barriers to the routine provision of care were associated changes delivery evidence-based five A's for smoking intervention (asking, advising, assessing, assisting, arranging) at organizational level. The data from 15 centers that...

The COVID-19 pandemic has had critical consequences for cancer care delivery, including altered treatment protocols and delayed services that may affect patients' quality of life long-term survival. Breast patients from minoritized racial ethnic groups already experience worse outcomes, which have been exacerbated by delays social determinants health (SDoH). This protocol details a mixed-methods study aimed at comparing disruption among diverse sample women (non-Hispanic White, non-Hispanic...

Tobacco use is the leading preventable cause of death in America and elevated among patients with non-tobacco substance disorders. Substance treatment centers (SUTCs) do not commonly address their patients’ tobacco use. Lack knowledge on treating counseling medication may be a barrier that underlies this inaction. A multi-component tobacco-free workplace program implemented Texas SUTCs educated providers evidence-based (or referral) counseling. This study examined how center-level changes...

Patients with behavioral health conditions have disproportionately high tobacco use rates and face significant barriers to accessing evidence-based cessation services. Tobacco quitlines are an effective accessible resource, yet they often underutilized. We identify knowledge, practices, attitudes towards the Texas Quitline (TTQL) within healthcare settings in Texas. Quantitative qualitative data were collected 2021 as part of a statewide needs assessment settings. Survey respondents (n =...

Racial and ethnic minorities, women, experience stark disparities in cancer risk behaviors mortality rates, yet often remain underrepresented scientific research positions. We conducted an exploratory, qualitative study to examine the value of mentored as part NCI-funded training program designed increase representation minority women scientists research. Using individual interviews, we explored 16 mentees’ 7 mentors’ experiences perspectives identify most effective strategies build strong...

This article focuses on the Russian-Norwegian borderland and its development in 1990s early twenty-first century. In 1991, with collapse of Soviet Union, border was opened for communication both ways, since then meaning has undergone significant changes that have reshaped whole territory. My argument is there are nowadays a considerable number people whose “own” territory not limited any more by state border, but includes Russian Norwegian territories as parts unified personal space, which...

The purpose of our study was to conduct a comparative analysis tuberculosis incidence among healthcare workers in the general medical service departments and anti-tubercular Dnipropetrovsk region for period from 2008 2017, professional, clinical structure cases 2015-2017. Despite decrease inUkraine, morbidity remains unfavorable. Over past 3 years, 155 employees health facilities have been infected with tuberculosis, including 134 institutions profile 21 anti-TB clinics. risk group consists...

Adults with behavioral health needs exhibit elevated tobacco use rates. Tobacco-free workplace policies (TFWPs) at treatment centers can effectively curb clients' and secondhand smoke/vape exposure. However, there is little extant observational research about how total versus partial bans are associated employee's perceptions of signage clarity, consistency enforcement, stakeholders' policy awareness in centers. Additionally, understood the relations or TFWPs other factors that may affect...

Abstract Tobacco use is causally associated with 18 cancers and a leading cause of preventable death. Individuals experiencing mental illness tobacco at an elevated rate consequently suffer from greater cancer-related morbidity mortality. Unfortunately, local health authorities (LMHAs), common setting to receive services, do not prioritize dependence treatment despite robust evidence that cessation can enhance in addition reducing cancer incidence. Beliefs (Health Belief Model) competence...

Despite the high tobacco use rates (~80%) and tobacco-related cancers being second leading cause of death among people experiencing homelessness within United States, these individuals rarely receive treatment from homeless-serving agencies (HSAs). This qualitative study explored enablers inhibitors implementing an evidence-based tobacco-free workplace (TFW) program offering TFW policy adoption, specialized provider training to treat use, nicotine replacement therapy (NRT) HSAs. Pre-...

For people at elevated risk for lung cancer, cancer screening (LCS) reduces mortality. People with non-nicotine substance use disorders (SUDs) have rates of smoking compared the general population, highlighting them as a priority population LCS consideration. Although research has shown is underutilized, there little literature to inform whether organizations that serve individuals SUDs existing clinical protocols surrounding LCS. In current study, we examine eligibility and referral...

COVID-19 has critically impacted cancer care services including reduced screenings, diagnoses, and surgeries; particularly among Black Latina/x women who already suffer worse outcomes. This qualitative study explored the experiences of a diverse sample breast survivors ( N = 21; 7 Black, 4 Hispanic, 10 White) undergoing treatment during pandemic via online semi-structured interviews. Grounded theory analysis yielded core category “ negotiating alone,” that included: (1) psychological...

Objective: We evaluated the use of evidence-based practices (EBPs) for smoking cessation in centers providing behavioral healthcare patient populations that included some proportion sexual and gender minorities (SGMs). Methods: Healthcare providers from 75 across Texas serving SGMs with health needs participated a survey assessing their center’s tobacco control policies practices. Results: Nearly half (N = 36) participating had comprehensive tobacco-free workplace policy, 30.67% employed ≥ 1...

Political mobilization of the Russian-speaking immigrant communityin Canada is a relatively recent phenomenon, but it has permeated multiplespheres community life in years. This paper examines how immigrants living Greater Toronto Area (GTA) used thehistory and memory World War II to mobilize their from2014–21, what forms war commemoration they performed, thesecommemoration practices meant for individuals whoparticipated them. The commemorative performances theGTA’s remained controversial as...