borderline significantP = 0.049
Additionally, a borderline significant decline was observed in health region 11 (AAPC = − 11.79%, 95% CI: − 22.16 to − 0.04; P = 0.049), whereas health region 13 exhibited a statistically significant decline with an AAPC of − 11.19% (95% CI: − 22.44 to − 3.74; P = 0.006).