Sixteen-year trends in multiple lifestyle risk behaviours by socioeconomic status from 2004 to 2019 in New South Wales, Australia.

Between 2004 and 2019, there was no substantial inequality in smoking prevalence by remoteness, a relatively stable inequality by education, but a slight trend for increasing absolute and relative inequalities by area-level disadvantage (for the middle disadvantage subgroup, a prevalence difference of 4.3 percentage points [95% CI: 1.3–7.4] in 2004 to 8.0 percentage points [95% CI: 5.5–10.5] in 2019, and a prevalence ratio of 1.2 [95% CI: 1.0–1.4] in 2004 to 1.9 [95% CI: 1.4–2.3] in 2019; for the most disadvantaged subgroup, a prevalence difference of 7.5 percentage points [95% CI: 3.9–11.2] in 2004 to 16.8 percentage points [95% CI: 12.7–20.8] in 2019, and a prevalence ratio of 1.4 [95% CI: 1.2–1.7] in 2004 to 2.8 [95% CI: 2.1–3.5] in 2019).

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There appeared to be an increasing trend in absolute and relative inequalities between socioeconomic groups based on education, area-level disadvantage and remoteness.

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