Table 4.

Joinpoint analysis for crude asthma hospital admissions and mortality rates in Ecuador, 2000–2018

	Full range 2000 - 2018	Trend 1		Trend 2		Trend 3
	AAPC (95% CI)	Years	APC (95% CI)	Years	APC (95% CI)	Years	APC (95% CI)
Asthma Hospital Admissions
Total sample	-3.1* (-4.3 to -1.9)	2000–2011	-0.8 (-2.1 to 0.5)	2011–2018	-6.6 * (-9.3 to -3.9)
Sex
Male	-2.7* (-4.2 to -1.1)	2000–2011	0.0 (-1.6 to 1.8)	2011–2018	-6.8* (-10.1 to -3.4)
Female	-3.6 (-4.5 to -2.6)	2000–2011	-1.7* (-2.7 to -0.7)	2011–2018	-6.5* (-8.5 to -4.4)
Age group
<5	-2.7* (-4.9 to -0.6)	2000–2012	0.2 (-1.6 to 2.1)	2012–2018	-8.4* (-13.8 to -2.6)
5-19	-1.4 (-3.6 to 0.9)	2000–2002	-14.8 (-29.6 to 3.2)	2002–2012	3.5* (1.7 to 5.3)	2012 - 2018	-4.5* (-7.3 to -1.6)
20-44	-4.3* (-5.8 to -2.7)	2000–2008	-1 (-3.8 to 1.7)	2008–2018	-6.8* (-8.9 to -4.7)
45-64	-6.2* (-7.6 to -4.8)	2000–2009	-3.6* (-5.7 to -1.6)	2009–2018	-8.7* (-11 to -6.4)
>64	-7.8* (-10.6 to -4.8)	2000–2002	-10.7 (-25 to 6.4)	2002 – 2005	5.2 (-11.5 to 25.1)	2005 - 2018	-10.1* (-11 to - 9.1)
Region
Coast	-3.4* (-5 to -1.8)	2000–2011	0.7 (-1.1 to 2.4)	2011–2018	-9.5* (-12.8 to -6)
Andean	-2.3* (-2.9 to -1.7)	2000–2018	-2.3* (-2.9 to -1.7)
Amazon	-4.9* (-5.7 to -4)	2000–2018	-4.9* (-5.7 to -4)
Asthma Mortality
Total sample	-5.6* (-6.7 to -4.4)	2000–2018	-5.6* (-6.7 to -4.4)
Sex
Male	-5.6* (-7.5 to -3.7)	2000–2008	-1.9 (-5.2 to 1.4)	2008–2018	-8.5* (-11.1 to -5.8)
Female	-5.7* (-7.2 to -4.1)	2000–2018	-5.7* (-7.2 to -4.1)
Age group
<5	-11.1* (-14 to -8.1)	2000–2018	-11.1* (-14 to -8.1)
5-19	–
20-44	-5.6* (-8.2 to -2.9)	2000–2018	-5.6* (-8.2 to -2.9)
45-64	-6* (-8.7 to -3.3)	2000–2018	-6* (-8.7 to -3.3)
>64	-5.8* (-7.2 to -4.4)	2000–2018	-5.8* (-7.2 to -4.4)
Region
Coast	-3.8 (-9.3 to 2)	2000–2002	-22.4 (-51.3to 23.6)	2002–2008	7.3 (-3.6 to 19.3)	2008 - 2018	-5.9* (-9.2 to -2.5)
Andean	-9.7* (-11.7 to -7.7)	2000–2018	-9.7* (-11.7 to -7.7)
Amazon

*P<0.05.

AAPC, Average Annual Percentage Change; APC, Annual Percentage Change.