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Smoking restricts blood flow to the penis creating an inability to achieve an erection

As evidenced in a 1939 ad for Velvet cigarettes, the tagline Heap fine flavor featured an image of a man wearing a traditional headdress (figure 1).24 A 1949 Lorillard collection ad for Old Gold cigarettes featured a wooden statue of an Indigenous man in headdress with text No heap big medicine talk.25 Promotional materials for Coupon cigarettes similarly featured a man in full traditional clothing, including a headdress and beaded regalia.26 In addition to the use of headdresses in print ads, fictionalised encounters with Native people in traditional clothing and stereotypical language such as me dumb Injun27 were used for product promotions on radio and in other media.28 29 In the 1950s, products continued to use radio ads depicting American Indians,30 using narrative describing cultural symbols

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6 The 2012 Surgeon General's report on preventing tobacco use among youth concluded that there is a causal relationship between tobacco industry advertising and promotional efforts, and the initiation and progression of tobacco use among young people