The alternative is the scenario noted above. The Kool smoker thinks of himself as macho but needs his props to sustain the display. Here, in addition to the pack of Kool, he has a tattoo around his wrist. Notably, although semi-subliminally, the tattoo says SEX. The S is clear to the left of the tattoo.
The e is large but in lower case and there is an additional character in between the e and the X with part of that character running through the X. Compare this irregular pattern with the illustration on the right. It shows the regularity that could be expected with most tattoos circling the wrist or upper arm. The presentation of such imagery is an indication that the Kool smoker has never heard that smoking impairs, rather than enhances, sexual ability.
The most likely source of beliefs that sex and cigarettes 'go together' is likely to be the fallacious ideas promoted by movies and ads such as this. The Scottish Health Education Group once came up with the perfect answer for combating such nonsense and guaranteed to convince any doubting youngster. They suggested one should 'Kiss a non-smoker ..... and taste the difference.' I couldn't agree more. Saves on breath freshener and dry-cleaning bills as well.