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The anecdotal evidence cited doesnt help clear the air on the issue

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These conditions can lead to swelling in the Eustachian tube, causing inflammation in the middle ear.Children are slightly more likely to get middle ear infections if they use a pacifier (a dummy), often have close contact with other children, for example at daycare or a nursery school, were fed formula from the start rather than mother's milk, or are often exposed to cigarette smoke

This shows that anti-smoking ads that focus on sexual activity may be significant not only in adult populations, but in pre-teen and teen audiences as well (3,4)