an increasing trendp = 0.028
However, there were four countries showing an increasing trend of ovarian cancer, including India (AAPC = 6.89, 95% C.I. 0.95 to 13.18, p = 0.028), Belarus (AAPC = 6.69, 95% C.I. 2.48 to 11.08, p = 0.002), African Americans in the United States: (AAPC = 4.90, 95% C.I. 0.50 to 9.48, p = 0.033), and Japan (AAPC = 4.00, 95% C.I. 0.88 to 7.21, p = 0.018). 4.