{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:33:57Z","timestamp":1777883637975,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Toward Homelessness Recovery and Integration for Veterans"},{"DOI":"10.13039\/100017544","name":"VA Greater Los Angeles Healthcare System","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100017544","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Use: Research and Treatment"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Homeless-experienced adults smoke at rates 5 times that of the general adult population, and often have limited access to cessation treatments while homeless. Permanent Supportive Housing (PSH) can be a catalyst for cessation treatment utilization, yet little is known about use of these treatments following PSH entry, or how to tailor and implement cessation care that meets homeless-experienced adults\u2019 vulnerabilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Using Department of Veterans Affairs (VA) administrative data, we assessed smoking status (ie, current, former, non\/never) among a cohort of homeless-experienced Veterans (HEVs) housed in Los Angeles-based PSH. We compared cessation treatment use rates (ie, nicotine replacement therapies, cessation medications, psychosocial counseling) pre- and post-housing using Chi-square tests. Predisposing (ie, demographics), enabling (eg, primary care, benefits), and need characteristics (ie, health, mental health, substance use diagnoses) were examined as correlates of cessation treatment utilization pre- and post-housing in univariable and multivariable logistic regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Across HEVs (N\u2009=\u20092933), 48.6% were identified as currently-smoking, 17.7% as formerly-smoking, and 14.0% as non\/never smoking. Among currently- and formerly-smoking HEVs (n\u2009=\u20091944), rates of cessation treatment use post-housing were significantly lower, compared to pre-housing, across all treatment types. Health, mental health, and substance use was more prevalent among currently- and formerly-smoking HEVs compared to non\/never-smoking HEVs, and most diagnoses were positively associated with utilization univariably. However, in multivariable models, cessation clinic referrals and primary care engagement were the only significant ( P\u2009&lt;\u2009.001) predictors of pre-housing and post-housing cessation treatment utilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Among HEVs, we found high smoking rates and low cessation treatment utilization pre- and post-PSH entry. Efforts to educate providers about this population\u2019s desire to quit smoking, support primary care engagement, and increase cessation clinic referrals may bolster their utilization. For homeless-experienced adults, optimizing cessation treatment accessibility by embedding cessation services within PSH and homeless service settings may reduce utilization impediments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29768357241271567","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T08:40:35Z","timestamp":1728376835000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Examining Homeless-Experienced Adults\u2019 Smoking Cessation Treatment Use Pre- and Post-Entry into Permanent Supportive Housing"],"prefix":"10.1177","volume":"18","author":[{"given":"Taylor","family":"Harris","sequence":"first","affiliation":[{"name":"Department of Veterans Affairs, Center for the Study of Healthcare Innovation, Implementation and Policy, Greater Los Angeles, CA, USA"},{"name":"Department of Veterans Affairs, Desert Pacific Mental Illness Research, Education, and Clinical Center, Greater Los Angeles, CA, USA"},{"name":"Department of Family Medicine, David Geffen School of Medicine at Univeristy of California, Los Angeles (UCLA), USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Talia","family":"Panadero","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, Center for the Study of Healthcare Innovation, Implementation and Policy, Greater Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, Center for the Study of Healthcare Innovation, Implementation and Policy, Greater Los Angeles, CA, USA"},{"name":"Department of Veterans Affairs, Desert Pacific Mental Illness Research, Education, and Clinical Center, Greater Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann Elizabeth","family":"Montgomery","sequence":"additional","affiliation":[{"name":"Veterans Affairs Health Care System, Birmingham, AL, USA"},{"name":"School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jack","family":"Tsai","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs Central Office, National Center on Homelessness among Veterans, Washington, DC, USA"},{"name":"School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lillian","family":"Gelberg","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, Center for the Study of Healthcare Innovation, Implementation and Policy, Greater Los Angeles, CA, USA"},{"name":"Department of Family Medicine, David Geffen School of Medicine at Univeristy of California, Los Angeles (UCLA), USA"},{"name":"Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA"},{"name":"Department of Veterans Affairs, Office of Healthcare Transformation and Innovation, Greater Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonya","family":"Gabrielian","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, Center for the Study of Healthcare Innovation, Implementation and Policy, Greater Los Angeles, CA, USA"},{"name":"Department of Veterans Affairs, Desert Pacific Mental Illness Research, Education, and Clinical Center, Greater Los Angeles, CA, USA"},{"name":"Department of Family Medicine, David Geffen School of Medicine at Univeristy of California, Los Angeles (UCLA), USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,10,7]]},"reference":[{"key":"bibr1-29768357241271567","doi-asserted-by":"publisher","DOI":"10.1017\/jsc.2020.11"},{"key":"bibr2-29768357241271567","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2019.02.020"},{"key":"bibr3-29768357241271567","doi-asserted-by":"publisher","DOI":"10.1111\/add.12292"},{"key":"bibr4-29768357241271567","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301336"},{"key":"bibr5-29768357241271567","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.0395"},{"key":"bibr6-29768357241271567","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntw040"},{"key":"bibr7-29768357241271567","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.4.651"},{"key":"bibr8-29768357241271567","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0254100"},{"key":"bibr9-29768357241271567","first-page":"1273","volume":"34","author":"Gelberg 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