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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

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But David Cameron, an ex-smoker, recently signalled his opposition to a car ban