30 March 2026

Living Conditions Survey (LCS)
Health module

Year 2025

Main results

  • Health care expenses were a heavy burden for 8.4% of households in 2025, up from 7.0% in 2022.
  • Obesity affected 17.3% of people aged 16 and over with lower incomes, 6.5 points above the percentage observed among those with higher incomes.
  • 15.9% of people aged 16 and over with lower incomes were daily smokers, compared to 11.5% of people with higher incomes.
  • 67.4% of people aged 16 and over with higher incomes visited the dentist in the last 12 months, while among people with lower incomes this percentage fell to 42.3%.

Healthcare and healthcare cost burden

81.3% of people aged 16 or over visited a family doctor in 2025, 58.7% visited a specialist and 55.0% visited a dentist in the 12 months prior to the interview. These percentages exceed those recorded in 2022 by 3.7, 2.9 and 3.1 points, respectively.

Considering the level of income, the percentages showed few differences in visits to the family doctor (79.3% in low-income households, compared to 81.2% in high-income households).

In contrast, visits to specialists or dentists did show significant variations, as people with higher incomes visited these more frequently than those with lower incomes (68.1% versus 50.4% in the case of specialists, and 67.4% versus 42.3% in the case of dentists).

People aged 16 and over who have seen a family doctor, specialist or dentist at least once in the last 12 months, by income level. 2025

Percentages

In 2025 healthcare expenses (family doctor or specialists) were a heavy burden for 8.4% of households, up from 7.0% in 2022. The burden of spending on medicines decreased to 6.7%, down from 6.9% in 2022.

For its part, the burden of dental care expenses increased 1.7 points, from 17.0% of households in 2022 to 18.7% in 2025. 

By income level, 7.9% of high-income households felt a heavy burden of health care expenses, compared with 8.8% of low-income households.

The same was true for dental care or medication costs. For lower-income households it was a greater burden than for high-income households (20.2% compared to 13.3% for dental care and 8.5% compared to 4.2% for medications).

Households for whom medical, dental or medication expenses represented a heavy burden due to their income level. 2025

Percentages

Obesity

Obesity affected 14.7% of the population aged 16 and over in 2025, the same percentage as in 2022. 35.8% were overweight, one tenth more than in 2022.

By income level, obesity affected people with low incomes more (17.3%) than those with high incomes (10.8%). Similarly, being overweight affected people with low incomes more (36.9%) than people with high incomes (33.3%).

People aged 16 and over with obesity or overweight by income level. 2025

Percentages

Fruit and vegetable consumption

A total of 63.2% of people aged 16 and over claimed to eat fruit daily in 2025, compared to 67.1% in 2022.

The consumption of vegetables, salad or legumes also fell: 47.7% of the population aged 16 and over claimed to consume vegetables daily, 3.3 points less than in 2022.

According to income level, people with higher incomes showed a higher frequency of daily fruit intake (68.9%) than those with lower incomes (57.4%). The same occurred with the consumption of vegetables, salads or legumes (51.5% versus 46.0%).

People aged 16 and over according to daily fruit and vegetable consumption by income level

Percentages

Consumption of tobacco and alcohol

Some 15.0% of the population aged 16 and over claimed to smoke daily in 2025, down from 17.1% in 2022. Meanwhile, 78.4% reported not having smoked in the last 12 months, a percentage slightly higher than the 76.6% recorded in 2022.

Regarding alcohol consumption in the last year, a general decrease was observed. 5.6% of the population drank daily and 24.1% did so a few times a week, percentages lower than those recorded in 2022 (7.5% and 27.2%, respectively).

The proportion of people who did not consume alcohol also increased, rising from 31.3% in 2022 to 33.9% in 2025.

Considering the level of income, 15.9% of persons with the lowest income were daily smokers, compared to 11.5% of persons with the highest income.

On the other hand, 4.8% of people with the lowest income level consumed alcoholic beverages on a daily basis, compared to 6.5% of people with the highest income level. 

People aged 16 and over according to daily tobacco and alcohol consumption by income level. 2025

Percentages

Revision and updating of data

The data published today are final. All results of this operation are available on INEBase.

Methodological note

The Living Conditions Survey (LCS) is an annual statistical operation aimed at households which is conducted in all European Union countries. It is a harmonised statistic supported by Regulation (EU) 2019/1700 of the European Parliament and of the Council of 10 October 2019 which establishes a common framework for European statistics related to people and households, based on individual data collected from samples.   

The Living Conditions Survey (LCS) includes various modules each year, harmonised at the European level, for an in-depth study of different aspects of the life of households. The 2025 edition included a health module. Similar modules were included in previous editions, which allowed the changes that occurred to be understood in greater detail.

The 2025 LCS was carried out by the National Statistics Institute (INE) in collaboration with the Statistical Institute of Catalonia (IDESCAT) within the scope of the autonomous community.

Type of survey:
Annual.
Collection period:
February to May 2025.
Sample size:
The effective sample is made up of about 72,000 people.
Sample type:
A panel survey in which the people interviewed collaborate for four consecutive years. It’s a stratified two-stage sampling process. The first stage units are the census tracts and the second stage units are the inhabited family dwellings.
Collection method:
Online, by phone interview, or in person.

More information on the methodology and the standardised methodological report.  

INE statistics are produced in accordance with the Code of Good Practice for European Statistics. More information on Quality at INE and the Code of Best Practices.

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