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A case-control study conducted within the Chennai population revealed that the frequency and dosage of tobacco consumption were identified as important risk factors for the development of lesions [3]

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Typical causes and hypotheses include: aesthetics: mere attraction to, and gratification of, the visual aspect of smoke as it exits the mouth childhood: experience or interaction with one or more attractive smoking individuals during childhood impulsivity: perceived symbolism of an audacious or impulsive personality, insinuating promiscuity mannerism: masculine or feminine body language of smokers media: early exposure to sexualized depictions of smokers, especially from advertising media, the film noir era, and pornography [3] persuasion: perceived power of convincing or urging another individual to smoke psychosexual development: phenomena in the oral and phallic stages of childhood development, based on Freudian theory sadomasochism: pleasure from infliction of bodily harm caused by smoking, often called "lung damage" self-confidence: perceived confidence or masculinity of the smoker, regarding taboo or wealth taboo: perceived independence or rebellion regarding the act of smoking, amongst cultural adversity to smokers wealth: attraction to individuals who are wealthy enough to fund a cigarette or cigar habit In the adult industry [edit] Smoking has often been associated with the dominatrix role in BDSM, and numerous adult production for the kink community feature scenes depicting smoking and other acts related to it, such as extinguishing cigarettes on characters or forcing characters to inhale the smoke

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