Nationwide trends and geographic variations of diabetes in pregnancy in Thailand: Epidemiology, neonatal outcomes, and healthcare costs under the universal health coverage scheme (2013–2023)
Issued Date
2026-05-01
Resource Type
eISSN
22113355
Scopus ID
2-s2.0-105033803658
Journal Title
Preventive Medicine Reports
Volume
65
Rights Holder(s)
SCOPUS
Bibliographic Citation
Preventive Medicine Reports Vol.65 (2026)
Suggested Citation
Lapinee V., Noparatyaporn P., Tharavanij T., Rawdaree P., Hanbunjerd K., Yang K.M. Nationwide trends and geographic variations of diabetes in pregnancy in Thailand: Epidemiology, neonatal outcomes, and healthcare costs under the universal health coverage scheme (2013–2023). Preventive Medicine Reports Vol.65 (2026). doi:10.1016/j.pmedr.2026.103452 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/115963
Title
Nationwide trends and geographic variations of diabetes in pregnancy in Thailand: Epidemiology, neonatal outcomes, and healthcare costs under the universal health coverage scheme (2013–2023)
Corresponding Author(s)
Other Contributor(s)
Abstract
Objective Diabetes in pregnancy is increasing globally, yet national evidence from Thailand on trends, geographic variation, neonatal outcomes, and healthcare costs remains limited. This study examined temporal trends, regional variation, neonatal complications, and economic burden among beneficiaries of Thailand's Universal Coverage scheme. Methods A nationwide retrospective study was conducted using the National Health Security Office electronic claims database in Thailand from 2013 to 2023. The analysis included 103,536 pregnancies affected by diabetes and 14,051 linked infant records. Temporal trends, provincial geographic variation, neonatal outcomes, and direct medical expenditures were examined. Results Diabetes in pregnancy increased substantially over the study period. Gestational diabetes mellitus remained predominant, while type 1, type 2, and unspecified diabetes increased after 2020. Healthcare costs rose in parallel. Geographic patterns shifted from minimal provincial differences during 2013–2020 to regional hotspots in central, northeastern, and southern Thailand by 2022–2023. Among infants with available claims records, 87.6% had no complications; neonatal jaundice (9.5%) and congenital malformations (2.3%) were the most common outcomes. Conclusions Diabetes in pregnancy in Thailand has increased rapidly with emerging regional concentration and rising healthcare costs. Strengthened surveillance, improved data linkage, standardized diagnosis, and targeted regional prevention strategies are needed.