Tobacco use is the most important cause of premature morbidity and mortality. The WHO Framework Convention on Tobacco Control (FCTC) and the Tobacco Products Directive (TPD) provide European Union Member States with policies aimed at reducing the initiation of tobacco use, increasing cessation rates and reducing the demand for tobacco products.

The International Tobacco Control Policy Evaluation Project was a pioneer in the systematic evaluation of the policies included in the FCTC at a population level in different countries. As part of this project, a study has been proposed to evaluate the impact of DPT at a European level in the context of the FCTC, entitled European Regulatory Science on Tobacco: Policy implementation to reduce lung diseases (EURESTPLUS). This study has constituted a cohort of 1000 smokers in each of the 6 participating countries (Germany, Greece, Hungary, Poland, Romania and Spain), who have been interviewed in 2016 and 2018.

The project entitled “Tobacco consumption and exposure to environmental and residual tobacco smoke in adults: EURESTPLUS-Spain cohorts” has a dual purpose: a) extend the monitoring of the Spanish cohort of smokers from the EURESTPLUS study, and b) constitute a new cohort of non-smokers who live with a smoker and objectively study their exposure to environmental and residual tobacco smoke.