COVID-19 Impacts on Health Services and Social Support for Pregnant and Postpartum People in Prison

COVID-19 对监狱中孕妇和产后人员健康服务和社会支持的影响

• 批准号: 10669448
• 负责人: Rebecca J. Shlafer
• 金额: $ 29.22万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-03-01 至 2026-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10669448
• 关键词: Address; Administrative Supplement; Administrator; Behavioral; COVID-19; COVID-19 impact; COVID-19 mortality; COVID-19 pandemic; COVID-19 pandemic effects; Cessation of life; Communicable Diseases; Communication; Complex; Crowding; Data; Decision Making; Disease; Disparity; Education; Employment; Ensure; Environment; General Population; Goals; Health; Health Promotion; Health Services; Healthcare; Housing; Imprisonment; Incidence; Individual; Infant; Interview; Jail; Justice; Leadership; Measures; Mental Health; Methods; Mission; National Institute of Child Health and Human Development; Parents; Patients; Perinatal; Personal Satisfaction; Persons; Policies; Population; Postpartum Period; Pregnancy Outcome; Pregnant Women; Prisons; Procedures; Public Health; Recreation; Reduce health disparities; Reproductive Process; Risk; Risk Factors; Running; SARS-CoV-2 infection; SARS-CoV-2 positive; Site; Social isolation; Social support; Source; Surveys; Testing; Time; United States; Visit; Woman; Work; evidence base; experience; health care availability; health care service; health disparity; health equity promotion; healthy pregnancy; longitudinal analysis; marginalized population; medical appointment; mortality; offspring; operation; pandemic disease; physical conditioning; pregnant; programs; secondary analysis; sociodemographics; telehealth; ventilation; volunteer

PROJECT ABSTRACT Since March 2020, there have been over 200,000 COVID-19 cases among pregnant people, and nearly 300 COVID-19-related deaths in the United States. Pregnant and postpartum people have increased health risks and are more likely to get severely ill from COVID-19 infections, with grave consequences for their health and the health of their offspring. For pregnant and postpartum people in prison, the conditions of incarceration make the COVID-19 pandemic even more precarious. Crowded living conditions, poor ventilation, and unsanitary environments all create conditions in which COVID-19 can easily spread. Throughout the pandemic, COVID-19 incidence and mortality rates in prisons and jails have been consistently higher than in the general population. To limit the spread of disease, prisons have modified policies related to health services, housing, employment, recreation, volunteer-run programming, and visiting. Yet, little is known about the impacts the COVID-19 pandemic has had on the health services and social supports of pregnant and postpartum people in prison, or how these impacts have influenced the health and well-being of this population. Leveraging our ongoing work with enhanced perinatal programs in six state prisons through our Parent R01, this Administrative Supplement aims to assess the impact of COVID-19 on health services and social support for pregnant and postpartum people in prison and the implications of these impacts for their health and well-being. Our long-term goal is to utilize this information to develop timely, evidence-based strategies to ensure pregnant and postpartum people in prison have access to high-quality health services and comprehensive social support – particularly amidst times of crisis – to reduce health disparities among this marginalized population. We will accomplish this goal by analyzing qualitative interviews with key stakeholders; conducting a systematic document review; surveying prison administrators; and interviewing pregnant and postpartum people to: 1) measure the impact of COVID-19 on health care services and 2) assess the impact of COVID-19 on social support for pregnant and postpartum people in prison. Results from this study are expected to fundamentally advance our understanding of how COVID-19 has impacted the health services, social supports, and well- being of pregnant and postpartum people in prisons. Identifying key factors that impacted the health and well- being of this population during the pandemic will inform changes to prison policies, practices, and programs. Ultimately, this work will yield critical information to address the complex health needs of this population, reduce health disparities, and promote health equity among justice-involved women and their infants.

项目摘要 自 2020 年 3 月以来，孕妇中已有超过 20 万例 COVID-19 病例，近 美国有 300 名孕妇和产后患者因 COVID-19 死亡，健康状况有所改善。 风险并且更有可能因感染 COVID-19 而患重病，从而对他们的健康造成严重后果 以及其后代的健康 对于监狱中的怀孕和产后人员，监禁条件。 使 COVID-19 大流行变得更加危险。拥挤的居住条件、通风不良和 不卫生的环境都为 COVID-19 在整个大流行期间的传播创造了条件。 监狱和监狱中的 COVID-19 发病率和死亡率一直高于一般水平 为了限制疾病的传播，监狱修改了与医疗服务、住房、 然而，人们对这些活动的影响知之甚少。 COVID-19 大流行对孕妇和产后人群的卫生服务和社会支持产生了影响 监狱，或这些影响如何影响该人群的健康和福祉。 正在通过我们的 Parent R01 在六个州监狱加强围产期计划，这 行政补充文件旨在评估 COVID-19 对卫生服务和社会支持的影响 监狱中的怀孕和产后人员以及这些影响对其健康和福祉的影响。 我们的长期目标是利用这些信息制定及时的、基于证据的策略，以确保怀孕 监狱中的产后人员能够获得高质量的医疗服务和全面的社会支持 — — 特别是在危机时期 — — 减少这些边缘化人群之间的健康差距。 通过分析与关键利益相关者的定性访谈来实现这一目标； 文件审查；对监狱管理人员进行调查；以及采访孕妇和产后人员：1) 衡量 COVID-19 对医疗保健服务的影响；2) 评估 COVID-19 对社会的影响 这项研究的结果预计将从根本上为监狱中的怀孕和产后人员提供支持。 加深我们对 COVID-19 如何影响卫生服务、社会支持和福利的了解 确定影响监狱中怀孕和产后人员健康的关键因素。 在大流行期间，这一人群的存在将为监狱政策、做法和项目带来变化。 最终，这项工作将产生关键信息，以满足该人群复杂的健康需求， 缩小健康差距，促进参与司法的妇女及其婴儿的健康公平。