Regions | Duration | APC and 95% CI (%) | p-value | AAPC and 95% CI (%) | p-value |
---|---|---|---|---|---|
Western region | 2004–2007 | 0.1 (− 9.5 to 10.7) | 0.984 |  − 10.6 (− 14.3– − 6.8)* |  < 0.001 |
 | 2007–2012 |  − 19.7 (− 26.2– − 12.7)* | 0.001 |  |  |
 | 2012–2017 |  − 7.0 (− 14.9–1.6) | 0.090 |  |  |
Central region | 2004–2017 |  − 15.0 (− 16.8– − 13.2)* |  < 0.001 |  − 15.0(− 16.8– − 13.2)* |  < 0.001 |
Northeastern region | 2004–2011 |  − 20.7 (− 27.0– − 14.0)* |  < 0.001 |  − 6.2(− 12.5–0.5) | 0.070 |
 | 2011–2017 | 14.2 (− 1.2–31.9) | 0.068 |  |  |
Eastern region | 2004–2012 |  − 16.7 (− 19.0– − 14.4)* |  < 0.001 |  − 10.5(− 13.2– − 7.7)* |  < 0.001 |
 | 2012–2017 | 0.5 (− 7.4–9.1) | 0.891 |  |  |