{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T13:02:13Z","timestamp":1771506133625,"version":"3.50.1"},"reference-count":60,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T00:00:00Z","timestamp":1680134400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Department of State Health Services","award":["HHS000961900001"],"award-info":[{"award-number":["HHS000961900001"]}]},{"name":"Department of State Health Services","award":["NU58DP006805"],"award-info":[{"award-number":["NU58DP006805"]}]},{"name":"Department of State Health Services","award":["R25DA054015"],"award-info":[{"award-number":["R25DA054015"]}]},{"name":"Department of State Health Services","award":["NOT-MD-22-001"],"award-info":[{"award-number":["NOT-MD-22-001"]}]},{"name":"Department of State Health 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Disparities","award":["PP230002"],"award-info":[{"award-number":["PP230002"]}]},{"name":"Cancer Prevention and Research Institute of Texas","award":["HHS000961900001"],"award-info":[{"award-number":["HHS000961900001"]}]},{"name":"Cancer Prevention and Research Institute of Texas","award":["NU58DP006805"],"award-info":[{"award-number":["NU58DP006805"]}]},{"name":"Cancer Prevention and Research Institute of Texas","award":["R25DA054015"],"award-info":[{"award-number":["R25DA054015"]}]},{"name":"Cancer Prevention and Research Institute of Texas","award":["NOT-MD-22-001"],"award-info":[{"award-number":["NOT-MD-22-001"]}]},{"name":"Cancer Prevention and Research Institute of Texas","award":["U54MD015946-03S1"],"award-info":[{"award-number":["U54MD015946-03S1"]}]},{"name":"Cancer Prevention and Research Institute of Texas","award":["PP230002"],"award-info":[{"award-number":["PP230002"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancers"],"abstract":"<jats:p>For people at elevated risk for lung cancer, lung cancer screening (LCS) reduces lung cancer mortality. People with non-nicotine substance use disorders (SUDs) have elevated rates of smoking compared with the general population, highlighting them as a priority population for LCS consideration. Although research has shown LCS is underutilized, there is little literature to inform whether organizations that serve individuals with SUDs have existing clinical protocols surrounding LCS. In the current study, we examine the LCS eligibility and referral practices among these organizations. We conducted a statewide needs assessment survey in 2021 to discern how tobacco use was being addressed at Texas organizations that provide treatment or services to individuals with SUDs. Respondents were asked to report on their center\u2019s LCS eligibility and referral practices. The analytic sample consists of 125 respondents who represented 23 federally qualified health centers, 29 global local mental health authorities (LMHAs), 12 substance use treatment programs in LMHAs, and 61 standalone substance use treatment centers. Very few respondents indicated that healthcare providers at their center made referrals to LCS for patients (8.8%); a few respondents indicated that their healthcare providers assessed patients\u2019 eligibility for LCS but did not make referrals (3.2%). Intervention and implementation efforts are needed in these and other SUD healthcare settings to bolster organizational capacity and ensure that patients are being navigated to lung cancer screening at multiple touch points across the care continuum.<\/jats:p>","DOI":"10.3390\/cancers15072073","type":"journal-article","created":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T01:37:02Z","timestamp":1680226622000},"page":"2073","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Lung Cancer Screening Eligibility and Referral Practices in Texas Organizations Serving People with Substance Use Disorders"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3561-1832","authenticated-orcid":false,"given":"Maggie","family":"Britton","sequence":"first","affiliation":[{"name":"Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, TX 77030, USA"},{"name":"Department of Psychological, Health & Learning Sciences, University of Houston, 3657 Cullen Blvd. Stephen Power Farish Hall, Houston, TX 77204, USA"},{"name":"HEALTH Research Institute, The University of Houston, 4349 Martin Luther King Blvd., Houston, TX 77204, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4312-7258","authenticated-orcid":false,"given":"Tzuan A.","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Psychological, Health & Learning Sciences, University of Houston, 3657 Cullen Blvd. Stephen Power Farish Hall, Houston, TX 77204, USA"},{"name":"HEALTH Research Institute, The University of Houston, 4349 Martin Luther King Blvd., Houston, TX 77204, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0073-339X","authenticated-orcid":false,"given":"Isabel","family":"Martinez Leal","sequence":"additional","affiliation":[{"name":"Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, TX 77030, USA"},{"name":"Department of Psychological, Health & Learning Sciences, University of Houston, 3657 Cullen Blvd. Stephen Power Farish Hall, Houston, TX 77204, USA"},{"name":"HEALTH Research Institute, The University of Houston, 4349 Martin Luther King Blvd., Houston, TX 77204, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasia","family":"Rogova","sequence":"additional","affiliation":[{"name":"Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, TX 77030, USA"},{"name":"Department of Psychological, Health & Learning Sciences, University of Houston, 3657 Cullen Blvd. Stephen Power Farish Hall, Houston, TX 77204, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryce","family":"Kyburz","sequence":"additional","affiliation":[{"name":"Integral Care, 1430 Collier St., Austin, TX 78704, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Williams","sequence":"additional","affiliation":[{"name":"Integral Care, 1430 Collier St., Austin, TX 78704, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayuri","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of State Health Services, Tobacco Prevention and Control Branch, Austin, TX 78714, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randa","family":"El-Zein","sequence":"additional","affiliation":[{"name":"Houston Methodist Neal Cancer Center, 6445 Main Street, Houston, TX 77030, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric H.","family":"Bernicker","sequence":"additional","affiliation":[{"name":"Houston Methodist Neal Cancer Center, 6445 Main Street, Houston, TX 77030, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa M.","family":"Lowenstein","sequence":"additional","affiliation":[{"name":"Department of Health Services Research, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, TX 77030, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7165-5720","authenticated-orcid":false,"given":"Lorraine R.","family":"Reitzel","sequence":"additional","affiliation":[{"name":"Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, TX 77030, USA"},{"name":"Department of Psychological, Health & Learning Sciences, University of Houston, 3657 Cullen Blvd. Stephen Power Farish Hall, Houston, TX 77204, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,30]]},"reference":[{"key":"ref_1","unstructured":"National Cancer Institute (2022, January 24). 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