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Methods This cross-sectional study was performed on 604 female adolescents in Iran in 2021

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Given the scarcity of literature presently available on the subject and thus exploratory nature of this work, and in light of this studys clinical focus as opposed to anthropological (i.e., of interest is clinical depth rather than cultural representativeness), a single-respondent design involving continual sittings over an extended period of time was chosen in favor of a multiple respondents design with one sitting each ( Instrument A comprehensive semi-structured interview schedule was developed via a methodological procedure described by Staub et al., 2015), our previous research experience and the anthropological literature on Amazonian medicine and tobacco uses (Wilbert, 1993