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Similar to smoking, there are different attitudes and customs among different Amish groups

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Greenwood PB, DeSerisy M, Koe E, Rodriguez E, Salas L, Perera FP et al (2024) Combined and sequential exposure to prenatal second hand smoke and postnatal maternal distress is associated with cingulo-opercular global efficiency and attention problems in school-age children

J Community Health 51 , 1223 (2026)

It's important to note that e cigarettes contain nicotine