University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Primary Care


Dr. Laura Witte


Topic: Nicotine Prevention in Primary Care


Purpose: The purpose of this article is to increase awareness about the different techniques of smoking and to discuss the prevention of cigarette smoking in adults by using earlier interventions.

Method: A PubMed literature search was conducted with search terms of smoking, hookah, and electronic cigarettes (e-cigarettes) in adults. There were fourteen pertinent articles retrieved and they served as the basis for this clinical review.

Results: It is not possible to predict which patient is a nicotine user. A wide range of nicotine products is available, with significant variations. Cigarette smoking and the use of nicotine products is a comprehensive and individually tailored approach, involving counseling and behavioral therapies. Studies show the effects of smoking hookahs, cigarettes, vaping, and e-cigarette are being linked to brain alteration causing worsening of Attention Deficit Disorder (ADD), depression, and anxiety.1 Early intervention by primary care providers will reduce the numbers by prevention efforts designed to combat nicotine abuse.

Conclusion: Tobacco control is a multisectoral approach, and it remains a top priority for the public health industry. A variety of new combustible, non-combustible, and electronic tobacco products are available. The implementation of comprehensive, evidence-based, population-level interventions, combined with targeted strategies, in coordination with the regulation of tobacco products, can reduce tobacco-related diseases and death. The goal is to identify individuals who smoke nicotine products and offer them evidence-based ways to help.


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