A positive APC indicates an increasing trend, whereas a negative APC indicates a decreasing trend.
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Significant regional inequalities in the prevalence of intellectual disability and trends from 1990 to 2019: a systematic analysis of GBD 2019.
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As these healthcare needs may not be adequately met in several countries, primary studies on the distribution of ID and their meta-analyses indicate an increasing trend of prevalence of ID in low- and middle-income countries compared to high-income nations (Carulla et al ., 2011 ; Maulik et al ., 2011 ).