The first step of the P.E.R.I.E process is stating what the health problem is. In this case the problem is smoking in adolescents. The course of adolescent smoking has had its ups and downs. During the 1980s and 1990s smoking rates increased in female teens but it was also during this time that interventions where used to bring these rates down. Currently, smoking rates are steady around 20%. The distribution of disease is primarily aimed at teenagers. It’s shown that teenagers who do smoke are more likely to live in rural areas. This problem occurs when teenagers are brainwashed into thinking that smoking can be cool through advertisements or campaigns. The second step is etiology: Cigarette marketing and advertising is a contributory cause of adolescent smoking. However it couldn’t be the only cause of smoking in adolescents because some adolescents aren’t influenced by cigarette campaigns but they can still land up smoking and there are even those that watch these campaigns but aren’t influenced to smoke. There are other aspects that impact an adolescent to smoke such as peer pressure, area they live in, knowing people that do smoke (parents, relatives).The scored recommendations were to see if interventions were going to reduce smoking in adolescents such as: getting rid of cigarette vending machines, charges for those selling to those under 18. Implementation implies ways on how to reduce cigarette smoking by taking action through interventions. Some of them described in the article were higher taxes on tobacco products, expulsion from school, testing athletes and dismissal from competition if result is positive, etc. Evaluation is shown through how well these interventions do when they are fulfilled. Will they reduce smoking in adolescents or will it increase?