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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

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40 A 2019 systematic review of experimental studies examining the impact of GHWs on tobacco packaging for young people found GHWs on tobacco products to be effective across a wide range of outcomes, including eliciting greater attention, stronger cognitive reactions (thinking about harms) and negative affective reactions (e.g

Compared to 2011, the rate for high school students was about 21.8% and about 4.3% for middle school students

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