Introduction:
Our objective was to explore the density of tobacco points of sale (PoS) in Spain, a State monopoly, and the sociodemographic disparities in such density across municipalities.

Material and Methods:
We obtained the list of tobacco PoS for 2021 and the latest sociodemographic data for municipalities from official open databases. We calculated the tobacco PoS density at the national level and for each municipality by dividing the number of PoS in the jurisdiction by population size. We used logistic regression to compute the association between tobacco PoS density and area-level income and population size at the municipal level.

Results:
The density of tobacco PoS was 2.8 per 1,000 inhabitants. Tobacco PoS density was inversely related to income, except for the most populated municipalities. The odds of having a tobacco PoS density above the national median were 1.9 (95% CI 1.7-2.1) times higher in municipalities with a mean household net income below the national median.

Conclusions:
In Spain, tobacco PoS density is higher than in most countries where information is available. The government of Spain should consider progressively reducing the density of tobacco PoS, prioritizing the most deprived areas to counter health inequalities. It is time for the government to use the tobacco PoS state monopoly to support its tobacco control policies instead of maximizing its profitability. A moratorium on granting new licenses for tobacco PoS would best serve this purpose as a contribution to an endgame strategy.