The name was mainly confined to Spain and Portugal during the Middle Ages. After the 16th century it was spread to other parts of the Christian world, due to the fame of the Spanish nun and reformer Saint Teresa of Ávila. Another famous bearer was the Austrian Habsburg queen Maria Theresa (1717-1780), who inherited the domains of her father, the Holy Roman emperor Charles VI, beginning the War of the Austrian Succession.
Due to the renown of Saint Paul the name became common among early Christians. It was borne by a number of other early saints and six popes. In England it was relatively rare during the Middle Ages, but became more frequent beginning in the 17th century. In the United States it was in the top 20 names for boys from 1900 to 1968, while in the United Kingdom it was very popular from the 1950s to the 80s. It has also been heavily used in Germany and France and continues to be popular there, though it is currently on the decline in the English-speaking world.
A notable bearer was the American Revolutionary War figure Paul Revere (1735-1818), who warned of the advance of the British army. Famous bearers in the art world include the French impressionists Paul Cézanne (1839-1906) and Paul Gauguin (1848-1903), and the Swiss expressionist Paul Klee (1879-1940). It is borne by actor Paul Newman (1925-2008) and the musicians Paul Simon (1941-) and Paul McCartney (1942-). This is also the name of the legendary American lumberjack Paul Bunyan and the fictional Paul Atreides from Frank Herbert's novel Dune (1965).
It has been common as a given name in the English-speaking world only since the 18th century. A famous modern bearer is American actress Julia Roberts (1967-).
Due to the popularity of the saint, the name became common in the Christian world during the Middle Ages. The Normans brought it to England, where it was commonly spelled Cecily — the Latinate form Cecilia came into use in the 18th century.
The name was borne by a 17th-century English queen and also by the second wife of Henry VIII, Anne Boleyn (the mother of Queen Elizabeth I), who was eventually beheaded in the Tower of London. Another notable bearer was the German-Jewish diarist Anne (Annelies) Frank, a young victim of the Holocaust in 1945. This is also the name of the heroine in the 1908 novel Anne of Green Gables by Canadian author L. M. Montgomery.