Advertising Agency: BDDP & Fils / France

The copy of this magazine ad reads “Smoking is being a slave to tobacco.” This photo is only 1 of 3 in the public interest campaign put out by Association de défence contre le tabac. What is the creative strategy here?  To show that dependency on smoking tobacco as a teen leads to being a slave to it, which supposedly leads to sexual abuse?

What are your thoughts? Does it work? Does it not work? Would this ad “fly” in the US?

image via: I Believe in Advertising