Changes in the Prevalence of Tobacco Consumption and the Profile of Spanish Smokers after a Comprehensive Smoke-Free Policy

PLoS One. 2015 Jun 11;10(6):e0128305. doi: 10.1371/journal.pone.0128305. eCollection 2015.


Background: A partial smoke-free regulation in Spain was introduced on January 1, 2006, which was subsequently amended to introduce a comprehensive smoke-free policy from 2 January 2011 onward. The objective of this study was to compare the prevalence of tobacco consumption in Spain and the profile of smokers before (2006) and after (2011) the comprehensive smoking ban passed in 2010.

Methods: Two independent, cross-sectional, population-based surveys were carried out among the adult (≥ 18 years old) Spanish population in 2006 and 2011 through telephone interviews. Both surveys used the same methods and questionnaire. Nicotine dependence was assessed with the Fagerström Test for nicotine dependence and readiness to quit according to the stages of change.

Results: The prevalence of tobacco consumption showed a nonsignificant decrease from 23.4% in 2006 to 20.7% in 2011. No changes were observed in nicotine dependence or readiness to quit. In 2011, most smokers (76%) showed low nicotine dependence and were mainly in the precontemplation stage (72%).

Conclusions: The prevalence of smokers has slightly decreased since the introduction of the total smoking ban in Spain. No differences were found in nicotine dependence or readiness to quit.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prevalence
  • Smoke-Free Policy*
  • Smoking / epidemiology*
  • Spain / epidemiology
  • Surveys and Questionnaires
  • Tobacco Use Disorder / epidemiology*
  • Tobacco Use Disorder / pathology
  • Young Adult

Grant support

This work was supported by the Instituto de Salud Carlos III, Ministry of Health, Government of Spain (FIS PI10/00400). The Ministry of Universities and Research of Catalonia (grants 2009SGR192 and 2009SGR1345) partially supported the work of Pérez-Ríos, Schiaffino, López and Fernández, and the Instituto de Salud Carlos III of Spain (grant RD12/0036/0053) partially supported the work of Fernández.