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Each show would include at least one song-and-dance blackface routine known as a coon song. While minstrels largely depicted black men as jolly, dim-witted fools, coon songs portrayed them as more sinister characters, lazy, razor-wielding petty criminals, given to drinking and fighting

Barriers include time constraints, insufficient training on tobacco dependence and treatment, lack of confidence among clinicians on their ability to effectively deliver cessation interventions, a perception on the part of some clinicians that tobacco dependence treatment is not effective, limited clinician time and reimbursement to provide treatment to patients, and failure to fully engage other clinical staff in providing cessation support to patients (Rojewski et al

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