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used in A Thousand Acres

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practices promoting the prevention of illness and maintenance of health — such as cleanliness or promoting sanitary conditions
  • He wasn't repelled, but he tried not to be overly curious, which meant that we disrobed with the lights out and confined ourselves, that first time, to hugging, kissing, and an insertion that seemed, more than anything, practical and hygienic.
    p. 279.3

There are no more uses of "hygiene" in A Thousand Acres.

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