RT Journal Article T1 Modelling annual prevalence of tobacco consumption in Spain, 1991–2020 A1 Guerra Tort, Carla A1 López Vizcaíno, María Esther A1 Santiago Pérez, María Isolina A1 Rey Brandariz, Julia A1 Candal Pedreira, Cristina A1 Varela Lema, María Leonor A1 Galán, Iñaki A1 Ruano Raviña, Alberto A1 Pérez Ríos, Mónica K1 Smoking K1 Reconstructive surgical procedures K1 Spain K1 Tobacco K1 Tobacco use K1 Epidemics K1 Precision K1 Smokers K1 Tobacco smoking AB 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 1991–2020. 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 15–24 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. PB Oxford University Press SN 1101-1262 YR 2025 FD 2025-03-10 LK https://hdl.handle.net/10347/42382 UL https://hdl.handle.net/10347/42382 LA eng NO Carla Guerra-Tort, Esther López-Vizcaíno, María Isolina Santiago-Pérez, Julia Rey-Brandariz, Cristina Candal-Pedreira, Leonor Varela-Lema, Iñaki Galán, Alberto Ruano-Ravina, Mónica Pérez-Ríos, Modelling annual prevalence of tobacco consumption in Spain, 1991–2020, European Journal of Public Health, Volume 35, Issue 2, April 2025, Pages 263–269, https://doi.org/10.1093/eurpub/ckaf015 NO This study was supported by the Instituto de Salud Carlos III (ISCIII) [grant number “PI22/00727”] and co-financed by the European Union. DS Minerva RD 24 abr 2026