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Effective care practices : Avoiding shame, stigma, or punitive language when discussing nicotine use Recognizing systemic and structural barriers that may affect the ability to quit Engaging community-informed or culturally appropriate supports when available Supporting patient autonomy and collaborative decision-making Ultimately, supportive approaches increase openness and engagement, whereas fear of judgment or punishment can discourage disclosure and limit opportunities to provide effective care

80% of those who smoke become addicted before they reach adulthood

"What you told me last time, say it again," he whimpers breathlessly

E-cigarettes The latest stats show that while around 31% of smokers (ie 3.8% of the 14+ population) had ever tried e-cigarettes, 20% seemed to have done so out of curiosity (once or twice) with only 4.4% currently using them (the remaining 6.8% no longer use them)