a decreasing trendp = 0.056
in 2023 (p = 0.28), in males we observed a decreasing trend over the same period from 0.77 (95% CI: 0.64;0.91) in 2013 to 0.67 (95% CI: 0.55;0.78) in 2023 (AAPC: −1.51, 95% CI: −3.04;0.05, p = 0.056) (Fig. 1 A and Table 1 ).