borderline significancep = 0.077
In contrast, females exhibited a significant upward trend from 2004 to 2016 (APC: +2.21%; 95% CI: 1.34 to 6.06; p = 0.006), followed by a decline with borderline significance (APC: –5.49%; 95% CI: –16.12 to 0.37; p = 0.077) ( Table S1 ; Figure 1 A). 3.2.