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While smoking is associated with a higher risk of oral cancer and severe gum disease, vaping poses its own set of challenges, including dry mouth, gum irritation, and oral infections

A proxy for such a longitudinal study may be to examine the change in smoking prevalence over time, paying specific attention to any deviation from the trend in prevalence for the years when graphic labelling requirements were introduced

For instance a focus on gender and ageing highlights Norma's struggle for self-determination in an industry that has treated her as a commodity with a use-by date, and suggests that her authoritarian persona within her household is a form of compensation for her lack of autonomy beyond the walls of her mansion