• Julia Rey-Brandariz, Alberto Ruano-Ravina, María Isolina Santiago-Pérez, Leonor Varela-Lema, Carla Guerra-Tort, Agustín Montes, María Piñeiro, Carlos Rábade, and Mónica Pérez-Ríos.
• Área de Medicina Preventiva y Salud Pública, Universidade de Santiago de Compostela, Santiago de Compostela, A Coruña, España; CIBER en Epidemiología y Salud Pública/CIBERESP, España.
• Med Clin (Barc). 2024 May 17; 162 (9): 417424417-424.

Background And ObjectivesContinuous monitoring of smoking prevalence is essential to understand the evolution of the tobacco epidemic in a population. The objective of this study was to analyze the evolution of smoking prevalence in Spain and its 17 Autonomous Regions (ARs) in population ≥15 years during the period 1987-2020.MethodsTobacco consumption data were derived from the National Health Survey of Spain and the European Health Survey in Spain. A smoker was defined as a person who smoked at the time of the survey. The trend in prevalences by sex in Spain and its ARs was analyzed by applying joinpoint models. Age-standardized prevalences were calculated for Spain by applying the direct method.ResultsIn Spain, the prevalence of consumption decreased 29 percentage points in men and 4.5 in women between 1987-2020. In men, the smoking prevalence decreased in all the ARs and the absolute change varied between -19.5% in the Balearic Islands and -33.9% in Andalusia. In women, the evolution of smoking prevalence differed between ARs. The absolute change varied between -15.4% in Basque Country and 0.5% in Andalusia.ConclusionsThe number of men and women smokers has decreased in Spain between 1987-2020. Different patterns of evolution of the prevalence of consumption are observed among the ARs, especially among women. This reinforces the need for policies adapted to more local contexts and that take into account the gender perspective.Copyright © 2023 Elsevier España, S.L.U. All rights reserved.

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