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Cigarettes have been attested in Central America around the 9th century in the form of reeds and smoking tubes

it would likewise have already had some of those negative associations with women possibly of womanly or effeminate [characteristics]. It was by the 1960s that its use as a pernicious term of anti-homosexual abuse became more common, says Bengry, citing Eric Partridges A Dictionary of Slang and Unconventional English as his source

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Combining smoking with asbestos exposure multiplies lung cancer risk fivefold