a decreasing trendp < 0.01
From 2004 to 2018, both HAV incidence and HAV-associated mortality in China showed a decreasing trend: 7.1997 and 0.0031 per 100,000 in 2004, 2.6430 and 0.0003 per 100,000 in 2010, and 1.1659 and 0.0002 per 100,000 in 2018, respectively ( p < 0.01).