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Set in a rural village, Luigi Comencinis 1953 film Pane, amore e fantasia ( Bread, Love, and Dreams ) features a scene in which a woman rejects the offer of a cigarette on the grounds that the locals gossip too much, proclaiming, [b]ut this is medieval! (109) Ipsen also documents numerous instances in visual culture of women wielding cigarettes as a sign of power or transgression, depictions that may have contributed to the increased normalization of womens smoking

The methodology behind these calculations involves analyzing the correlation between smoking-related diseases and mortality rates

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Yuan et al., 2015)