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Background and Objectives: Continuous 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.

Methods: Tobacco 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.

Results: In 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.

Conclusions: The 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.

Titel:	[Evolution of smoking prevalence in Spain and its 17 autonomous regions (1987-2020)].
Autor/in / Beteiligte Person:	Rey-Brandariz, J ; Ruano-Ravina, A ; Santiago-Pérez, MI ; Varela-Lema, L ; Guerra-Tort, C ; Montes, A ; Piñeiro, M ; Rábade, C ; Pérez-Ríos, M
Zeitschrift:	Medicina clinica, Jg. 162 (2024-05-17), Heft 9, S. 417-424
Veröffentlichung:	<2009- > : Madrid : Elsevier España ; <i>Original Publication</i>: Barcelona : Ediciones Doyma, S.A., 2024
Medientyp:	academicJournal
ISSN:	1578-8989 (electronic)
DOI:	10.1016/j.medcli.2023.11.015
Schlagwort:	Spain epidemiology Humans Male Female Prevalence Adult Middle Aged Young Adult Adolescent Sex Distribution Aged Health Surveys Smoking epidemiology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Transliterated Title: Evolución de la prevalencia de consumo de tabaco en España y sus 17 comunidades autónomas (1987-2020). Publication Type: Journal Article; Research Support, Non-U.S. Gov't Language: English; Spanish; Castilian [Med Clin (Barc)] 2024 May 17; Vol. 162 (9), pp. 417-424. <i>Date of Electronic Publication: </i>2024 Jan 05. MeSH Terms: Smoking* / epidemiology ; Spain / epidemiology ; Humans ; Male ; Female ; Prevalence ; Adult ; Middle Aged ; Young Adult ; Adolescent ; Sex Distribution ; Aged ; Health Surveys Contributed Indexing: Keywords: Adult; Adulto; Comunidades autónomas; Encuestas epidemiológicas; Epidemiological surveys; España; Prevalence; Prevalencia; Region; Spain; Tabaco; Tobacco Entry Date(s): Date Created: 20240106 Date Completed: 20240509 Latest Revision: 20240531 Update Code: 20240601

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[Evolution of smoking prevalence in Spain and its 17 autonomous regions (1987-2020)].