As a statistician, I can not for sure say that the rise in smokers is a direct result of the electronic cigarette ban. However, it does make me think of why there is a sudden rise of smoking in the last four years. Smoking being “cool” has been beaten to death in grade school. Most kids now know smoking kills and is not something they want to explore even. Furthermore, it’s not like kids can go out and buy a pack of cigarettes with ease at the convenient store either. Blaming the kids and young smokers just does not make sense anymore. Smokers who want to smoke know the risks and know the diseases associated with smoking. They either do not care or rather find that given their age it is too late for them. Why not instead target this demographic of current older smokers than the younger crowd. I understand this is a new tactic, but the old one is obviously not working.

These results hardly seem consistent with the CDC's statements that electronic cigarette use is causing an alarming increase in youth smoking.

Neither the survey approach or the RCT approach is perfect. Both have major strengths and significant limitations. The best way to proceed is to conduct both types of studies and to synthesize the results across study designs, keeping in mind the methodological strengths and limitations of each individual study. Only by looking at this totality of the evidence can we draw valid scientific conclusions.

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