an increasing trendp < 0.05
For ASPR, a significant decrease occurred from 2001 to 2005 (APC = −4.80, p < 0.05), while subsequent periods showed an increasing trend, particularly between 2010 and 2018 (APC = 1.43, p < 0.05) and 2018–2021 (APC = 2.84, p < 0.05).