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Similarly, alcohol users in primary care settings have been found to have moderate motivation to cut down or quit drinking.12 Among individuals with other behavioral health concerns (eg, depression, anxiety, posttraumatic stress disorder [PTSD], substance use), motivation to quit smoking and drinking has been repeatedly demonstrated to be at least moderate.2123 Related to the barrier of patients not identifying tobacco or alcohol use as a treatment goal, there is evidence that if a provider does not bring up a topic, patients will often not initiate a conversation in that area

[1] TTL was established as a government agency during Japanese colonial rule and was renamed the Taiwan Tobacco and Wine Monopoly Bureau () in 1947

In a recent National Public Radio interview, a resident of a Washington public housing complex pointed out that police have been unable to keep people from smoking marijuana in their apartments