{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T10:06:53Z","timestamp":1790762813060,"version":"4.1.0"},"reference-count":33,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T00:00:00Z","timestamp":1741564800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI22\/00727"],"award-info":[{"award-number":["PI22\/00727"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000780","name":"European Union","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The aim of this study was to estimate the series of tobacco smoking prevalence year-by-year in Spain, by sex and age group, for the period 1991\u20132020. Based on smoking prevalence obtained from national surveys and smoking-related auxiliary information from public statistics, we fitted a multinomial logistic mixed model with random area and time effects. Joinpoint regression was used to identify changes in the prevalence series across the period. To analyse the precision of the model-based estimates, we calculated the coefficients of variation. Between 1991 and 2020, the prevalence of smoking in Spain decreased in both sexes. In the 15\u201324 age group, the prevalence of smokers showed no differences by sex until 2007, after which prevalence in men exceeded that of women. However, in women aged 55 and over prevalence of smoking has been rising since 1991. After applying the model, the precision of smoking prevalence estimates improved. The reconstruction of a detailed series of tobacco smoking prevalence provides insight into the evolution of the tobacco epidemic in Spain. A detailed analysis by sex and age shows different trends in the prevalence of smoking among women that should be considered when control measures are formulated.<\/jats:p>","DOI":"10.1093\/eurpub\/ckaf015","type":"journal-article","created":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T22:28:01Z","timestamp":1741645681000},"page":"263-269","source":"Crossref","is-referenced-by-count":4,"title":["Modelling annual prevalence of tobacco consumption in Spain, 1991\u20132020"],"prefix":"10.1093","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1027-5668","authenticated-orcid":false,"given":"Carla","family":"Guerra-Tort","sequence":"first","affiliation":[{"name":"Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela , Santiago de Compostela,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7406-5849","authenticated-orcid":false,"given":"Esther","family":"L\u00f3pez-Vizca\u00edno","sequence":"additional","affiliation":[{"name":"Diffusion and Information Service, Galician Institute of Statistics , Santiago de Compostela,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3931-7182","authenticated-orcid":false,"given":"Mar\u00eda Isolina","family":"Santiago-P\u00e9rez","sequence":"additional","affiliation":[{"name":"Health Information Service, Directorate-General of Public Health, Galician Regional Health Authority , Santiago de Compostela,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2960-8437","authenticated-orcid":false,"given":"Julia","family":"Rey-Brandariz","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela , Santiago de Compostela,","place":["Spain"]},{"name":"Health Research Institute of Santiago de Compostela (IDIS) , Santiago de Compostela,","place":["Spain"]},{"name":"Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiolog\u00eda y Salud P\u00fablica\u2014CIBERESP) , Madrid,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1703-3592","authenticated-orcid":false,"given":"Cristina","family":"Candal-Pedreira","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela , Santiago de Compostela,","place":["Spain"]},{"name":"Health Research Institute of Santiago de Compostela (IDIS) , Santiago de Compostela,","place":["Spain"]},{"name":"Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiolog\u00eda y Salud P\u00fablica\u2014CIBERESP) , Madrid,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8365-7961","authenticated-orcid":false,"given":"Leonor","family":"Varela-Lema","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela , Santiago de Compostela,","place":["Spain"]},{"name":"Health Research Institute of Santiago de Compostela (IDIS) , Santiago de Compostela,","place":["Spain"]},{"name":"Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiolog\u00eda y Salud P\u00fablica\u2014CIBERESP) , Madrid,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0624-9993","authenticated-orcid":false,"given":"I\u00f1aki","family":"Gal\u00e1n","sequence":"additional","affiliation":[{"name":"National Centre for Epidemiology, Carlos III Institute of Health , Madrid,","place":["Spain"]},{"name":"Department of Preventive Medicine and Public Health, Autonomous University of Madrid\/IdiPAZ , Madrid,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9927-7453","authenticated-orcid":false,"given":"Alberto","family":"Ruano-Ravina","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela , Santiago de Compostela,","place":["Spain"]},{"name":"Health Research Institute of Santiago de Compostela (IDIS) , Santiago de Compostela,","place":["Spain"]},{"name":"Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiolog\u00eda y Salud P\u00fablica\u2014CIBERESP) , Madrid,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4456-6631","authenticated-orcid":false,"given":"M\u00f3nica","family":"P\u00e9rez-R\u00edos","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela , Santiago de Compostela,","place":["Spain"]},{"name":"Health Research Institute of Santiago de Compostela (IDIS) , Santiago de Compostela,","place":["Spain"]},{"name":"Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiolog\u00eda y Salud P\u00fablica\u2014CIBERESP) , Madrid,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,3,10]]},"reference":[{"key":"2025042409263548500_ckaf015-B1","doi-asserted-by":"crossref","first-page":"2337","DOI":"10.1016\/S0140-6736(21)01169-7","article-title":"Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and attributable disease burden in 204 countries and territories, 1990-2019: a systematic analysis from the Global Burden of Disease Study 2019","volume":"397","author":"Reitsma","year":"2021","journal-title":"Lancet"},{"key":"2025042409263548500_ckaf015-B2","author":"European Commission, Directorate-General for Communication, Directorate-General for Health Food Safety","year":"2021"},{"key":"2025042409263548500_ckaf015-B3","author":"Instituto Nacional de Estad\u00edstica"},{"key":"2025042409263548500_ckaf015-B4","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1097\/00008469-200302000-00009","article-title":"Prevalence of cigarette smoking by birth cohort among males and females in Spain, 1910-1990","volume":"12","author":"Fernandez","year":"2003","journal-title":"Eur J Cancer Prev"},{"key":"2025042409263548500_ckaf015-B5","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1093\/aje\/kwt224","article-title":"Validation of a 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