In a model without the three way interaction term, you are constraining the time trends within Gujarat (and also those within Rajasthan) to be the same for young and old. If you think that the time trends do not differ by age, then this is a very reasonable model.
What adding the three-way interaction does is relax that constraint and allow the young to have different time trends from the old in Gujarat (and also in Rajasthan).
What adding the three-way interaction does is relax that constraint and allow the young to have different time trends from the old in Gujarat (and also in Rajasthan).
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