SPAIN

SOCIOECONOMIC CONTEXT
Total population
Population 15+ years
Population in urban areas

43,887,000
86%
77%

Annual population growth rate

Adult literacy rate
Income group (World bank)

1.1%
96.5%
High Income

Data source: United Nations, data range 1990-2006

ALCOHOLIC BEVERAGES

Recorded adult (15+) alcohol consumption by type

of alcoholic beverage (in % of pure alcohol), 2005
Other
6%
Spirits
13%

Beer
45%

Wine
36%

Beer includes malt beers. Wine includes wine made from grapes. Spirits include all distilled beverages. Other includes
one or several other alcoholic beverages, such as fermented beverages made from sorghum, maize, millet, rice, or
cider, fruit wine, fortified wine, etc. Traditional and local beverages in Spain include pacharan and orujo. There are no
known problems from the use of surrogate alcohol (i.e. alcohol which is not intended for human consumption such as
industrial alcohol, aftershave, or antifreeze).

World Health Organization, 2009

Unless otherwise stated all data is sourced from the WHO Global Information System on Alcohol and Health (GISAH).
This draft country profile was developed in the framework of the Global Survey on Alcohol and Health implemented by the WHO Department of Mental
Health and Substance Abuse (Management of Substance Abuse team) in collaboration with WHO regional offices and the European Commission in the
WHO European Region. For more information, please contact: Management of Substance Abuse, World Health Organization, 20 Avenue Appia, CH1211 Geneva 27, Switzerland; Tel: +41-22 791 2352, Fax: +41-22 791 4851, Email: msb@who.int.

ALCOHOL CONSUMPTION
POPULATION DATA

Enlargement of recorded adult (15+) per capita

consumption, 2000-2006
Litres of pure
alcohol

(refer to the population 15 years and

older and are in litres of pure alcohol)

15.0
10.0
5.0
0.0
2000

2001

2002

2003

2004

2005

2006

Year
Beer

Litres of pure alcohol

Recorded adult (15+) per capita consumption

Wine

Spirits

Other

Total

change in data so urce

fro m 2002

20
15
10
5
0
1961

1966

1971

1976

1981

1986

1991

1996

2001

2006

Year
Beer

Wine

Spirits

Other

Total

Increase

Stable

Robust estimate of five-year change in recorded adult (15+) per

capita consumption, 2001-2005

20.0
15.0

10.2

10.0
5.0

1.4

0.0
Recorded

Unrecorded

Adult (15+) per capita consumption, total

(recorded + unrecorded) , average 2003-2005
Litres of pure alcohol

Litres of pure alcohol

Adult (15+) per capita consumption, recorded,

unrecorded, average 2003-2005

Decrease
Inconclusive

20.0
15.0
10.0
5.0
0.0

11.6

12.2

Spain

WHO European
Region

In Spain, adult per capita consumption of alcohol is mainly characterized by consumption of beer and wine. Spirits and
other fermented alcoholic beverages are also consumed, but to a lesser extent. Recorded adult per capita
consumption is around 10.2 litres of pure alcohol and this seems to have remained stable in recent years. Some
unrecorded alcohol production is also seen in the country, adding around 1.4 litres to recorded consumption. Total
adult per capita consumption of pure alcohol is around 11.6 litres in Spain.

World Health Organization, 2009

Unless otherwise stated all data is sourced from the WHO Global Information System on Alcohol and Health (GISAH).
This draft country profile was developed in the framework of the Global Survey on Alcohol and Health implemented by the WHO Department of Mental
Health and Substance Abuse (Management of Substance Abuse team) in collaboration with WHO regional offices and the European Commission in the
WHO European Region. For more information, please contact: Management of Substance Abuse, World Health Organization, 20 Avenue Appia, CH1211 Geneva 27, Switzerland; Tel: +41-22 791 2352, Fax: +41-22 791 4851, Email: msb@who.int.

PATTERNS OF DRINKING
ABSTAINERS
Abstainers (15+ years), 2005
(persons w ho did not drink in the past 12 months)

100.0
80.0
56.3

60.0

45.0

40.0

32.9

20.0

23.4

0.0

9.5

31.6
27.6

Males

24.7

17.4

Females

Total

Lifetime abstainers

Former drinkers

HEAVY EPISODIC DRINKING*

Heavy episodic drinkers, males

--

Heavy episodic drinkers, females

--

* had at least 60 grams or more of pure alcohol on one occasion in the past 7 days

DRINKERS ONLY
Adult (15+ years) per capita consumption*, total

21.13

Adult (15+ years) per capita consumption*, males

24.79

Adult (15+ years) per capita consumption*, females

15.58

Heavy episodic drinkers**, males

--

Heavy episodic drinkers**, females

--

* (recorded + unrecorded) in litres of pure alcohol, average 2003-2005

** had at least 60 grams or more of pure alcohol on one occasion in the past 7 days

PATTERNS OF DRINKING SCORE

Patterns of drinking score*

Least risky

Most risky

* Given the same level of consumption, the higher the patterns of drinking score, the greater the alcohol-attributable burden of
disease for the country.

World Health Organization, 2009

Unless otherwise stated all data is sourced from the WHO Global Information System on Alcohol and Health (GISAH).
This draft country profile was developed in the framework of the Global Survey on Alcohol and Health implemented by the WHO Department of Mental
Health and Substance Abuse (Management of Substance Abuse team) in collaboration with WHO regional offices and the European Commission in the
WHO European Region. For more information, please contact: Management of Substance Abuse, World Health Organization, 20 Avenue Appia, CH1211 Geneva 27, Switzerland; Tel: +41-22 791 2352, Fax: +41-22 791 4851, Email: msb@who.int.

HEALTH AND SOCIAL CONSEQUENCES

MORBIDITY
Prevalence estimates (12-month prevalence for 2004)
Males

Females

Alcohol use disorders (15-64 years, per 100,000 population)

6,469.2

1,716.4

Alcohol use disorders (15-64 years), WHO European Region

9.1%

2.0%

Alcohol dependence (18-65 years)

1.2%

0.2%

ALL CAUSE MORTALITY

Age-standardized deaths rates, 15+ years (per 100,000 population)
2000
2001
2002

2003

2004

2005

17.5

5.9

17.6

5.2

17.0

5.2

16.7

4.9

15.7

4.9

15.6

4.7

4.8

0.9

5.0

0.8

5.0

0.9

5.1

0.9

4.6

1.0

4.8

0.9

27.6

7.4

26.0

6.9

24.3

6.4

24.3

6.4

21.1

5.6

19.8

4.7

Poisoning

4.5

0.8

4.1

0.9

3.4

0.6

3.1

0.7

3.1

0.9

3.8

0.9

Violence

1.8

0.6

1.9

0.5

1.9

0.5

1.8

0.7

2.1

1.2

1.6

0.5

Liver cirrhosis
Alcoholic Liver disease
Road traffic accidents (1)

Data source: WHO Mortality Database, based on data as reported by countries

(1) refer to transport accidents

SOCIAL COSTS
Estimates for 2006

Total cost (millions US dollars)

6,428.7

Direct healthcare costs (millions US dollars)

1,785.3

Direct law enforcement costs (millions US dollars)

493.5

Other direct costs (millions US dollars)

24.1

Indirect costs (millions US dollars)

4,125.8

HEALTH INDICATORS MONITORED

Alcohol liver cirrhosis
Alcohol-related road traffic injury
Ethanol poisoning
Methanol poisoning
Alcohol use disorders
Liver cirrhosis
Road traffic injury
Alcohol-related recorded crime

YES
YES
YES
YES
YES
YES
YES
NO

Other health indicators monitored are: alcohol related mortality (mortality) and Years of Potential Life Lost (mortality).

World Health Organization, 2009

Unless otherwise stated all data is sourced from the WHO Global Information System on Alcohol and Health (GISAH).
This draft country profile was developed in the framework of the Global Survey on Alcohol and Health implemented by the WHO Department of Mental
Health and Substance Abuse (Management of Substance Abuse team) in collaboration with WHO regional offices and the European Commission in the
WHO European Region. For more information, please contact: Management of Substance Abuse, World Health Organization, 20 Avenue Appia, CH1211 Geneva 27, Switzerland; Tel: +41-22 791 2352, Fax: +41-22 791 4851, Email: msb@who.int.

ALCOHOL POLICY
Total ban of alcohol
Adopted written national policy on alcohol

NO
YES (adopted 1999, revised 2005)

National control of production/sale: Monopoly

National control of production/sale: Licensing

NO/NO
NO/NO

Excise tax on beer

Excise tax on wine
Excise tax on spirits

YES
NO
YES

National legal minimum age for off-premise sales of

alcoholic beverages (selling) (beer/wine/spirits)
National legal minimum age for on-premise sales of
alcoholic beverages (serving) (beer/wine/spirits)

16/16/16
16/16/16

Restrictions for on-/off-premise sales of alcoholic beverages:

Time (hours/days)
YES/NO
Location (places/density)
YES/NO
Specific events
YES
Intoxicated persons
NO
Petrol stations
YES
National maximum legal blood alcohol concentration
(BAC) when driving a vehicle (general/young/professional)

0.05% / 0.03% / 0.03%

Legally binding regulations on alcohol advertising

Legally binding regulations on alcohol product placement
Legally binding regulations on alcohol sponsorship
Legally binding regulations on alcohol sales promotion

YES
NO
NO
YES

Treatment policy for alcohol use disorders

YES

There is a written national policy on alcohol in Spain, which was revised in 2005. Restrictions for on-/off-premise sales
of alcoholic beverages such as place restrictions and restrictions at specific events are in place. There are national
and legally binding regulations on alcohol advertising and sales promotion.

World Health Organization, 2009

Unless otherwise stated all data is sourced from the WHO Global Information System on Alcohol and Health (GISAH).
This draft country profile was developed in the framework of the Global Survey on Alcohol and Health implemented by the WHO Department of Mental
Health and Substance Abuse (Management of Substance Abuse team) in collaboration with WHO regional offices and the European Commission in the
WHO European Region. For more information, please contact: Management of Substance Abuse, World Health Organization, 20 Avenue Appia, CH1211 Geneva 27, Switzerland; Tel: +41-22 791 2352, Fax: +41-22 791 4851, Email: msb@who.int.

European Union, monitoring of the EU alcohol strategy

Consumer information on alcohol's impact on health on
points of sale (supermarkets, pubs/bars)
Server training at a regular basis
Within the health system:
Counseling to children in families with alcohol
problems
Counseling to pregnant women with alcohol use
disorders or alcohol problems
Brief interventions as a method of health promotion
and disease prevention
Training of health professionals at a regular basis in
screening and brief interventions for alcohol problems
Prevention or counseling programs at workplaces to
employers with alcohol problems
Community based interventions/projects involving
stakeholders
Interventions/projects actively involving young people and
the civil society
Nationwide educational programs as a part of school
curriculum

YES
YES

YES
YES
YES
NO

YES
YES
YES
YES

Publicly funded alcohol research and monitoring

programs at national or sub-national level

YES

National surveys on drink-driving

YES

World Health Organization, 2009

Unless otherwise stated all data is sourced from the WHO Global Information System on Alcohol and Health (GISAH).
This draft country profile was developed in the framework of the Global Survey on Alcohol and Health implemented by the WHO Department of Mental
Health and Substance Abuse (Management of Substance Abuse team) in collaboration with WHO regional offices and the European Commission in the
WHO European Region. For more information, please contact: Management of Substance Abuse, World Health Organization, 20 Avenue Appia, CH1211 Geneva 27, Switzerland; Tel: +41-22 791 2352, Fax: +41-22 791 4851, Email: msb@who.int.