Global, regional, and national trends in the epidemiology of aortic aneurysms among women of childbearing age, 1990-2021, with predictions through 2036.

Globally, the overall ASMR has been declining since 1994, transitioning from an increasing trend between 1990 and 1994 (APC = 0.88%) to a slight decrease from 1994 to 1999 (APC = − 0.11%).

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This relationship was non-linear and resembled a parabolic pattern: a positive correlation between EAPC and HDI was observed when HDI was below 0.7, whereas a negative correlation emerged when HDI exceeded 0.7 (DALYs: ρ = −0.12, P-value = 0.10; Mortality counts: ρ = −0.07, P-value = 0.32), though the latter did not reach statistical significance.

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