From what I've seen for my keywords it appears to a combo of "authority" sites (Pinterest, Youtube, Amazon, Tumblr, etc) mixed with the search term in the page title.
Those covering both criteria seem to be getting the most love by far even when the actual content isn't really germane to the search.
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DeltaofVenus.com - Vintage Erotica from the 1800s through 1979
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