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There are some specific problems with survey studies that could lead to an overestimation of the benefits of electronic cigarettes. One major problem is that a survey study of the use of advanced vapor products would result in a severe bias towards finding a high level of effectiveness of these products. The reason? By the time smokers advance to use products like open-ended systems, they have already experienced success, fulfillment, and enjoyment with vaping. In other words, limiting the sample to users of advanced vapor products filters out the majority of e-cigarette users, who do not experience great success and therefore don't go on to the more advanced products.

According to CAP:

Instead, these were all population-based studies of smoking and e-cigarette use that did not even ask smokers using e-cigarettes if they were using them regularly or if they were using them in an effort to quit smoking. Actually, one of the studies did ask smokers if they were using e-cigarettes to quit smoking and the overwhelming majority said that they were not. In other words, many of the smokers in this study were probably just experimenting with, or trying an e-cigarette, and were not regular users of these products.


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