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，孕妇中有超过200,000例COVID案件，几乎 美国300与19日在美国相关的死亡。孕妇和产后人的健康状况增加了 风险，更有可能因199次感染而严重患病，对他们的健康造成严重后果 以及他们后代的健康。对于孕妇和产后人士监狱，事件的情况 使Covid-19的大流行更加不稳定。拥挤的生活条件，通风不良， 不卫生的环境都创造了Covid-19可以轻松传播的条件。在整个大流行中， Covid-19-19的监狱和监狱的事件和死亡率始终高于一般 人口。为了限制疾病的传播，监狱已修改了与卫生服务，住房，， 就业，娱乐，志愿者经营的节目和访问。然而，对影响的影响知之甚少 Covid-19-大流行对孕妇和产后人的卫生服务和社会支持 监狱，或这些影响如何影响该人群的健康和福祉。利用我们的 通过我们的父母R01在六个州监狱中进行增强的围产期计划的持续工作，这 行政补充旨在评估Covid-19对健康服务和社会支持的影响 孕妇和产后的人在监狱中以及这些影响对他们的健康和福祉的影响。 我们的长期目标是利用这些信息来制定及时的基于证据的策略以确保怀孕 和产后监狱中的人可以获得高质量的卫生服务和全面的社会支持 - 尤其是在危机中 - 减少边缘化人群中的健康差异。我们将 通过分析与主要利益相关者的定性访谈来实现这一目标；进行系统 文件审查；调查监狱管理员；并采访孕妇和产后人：1） 衡量Covid-19对医疗服务的影响，2）评估Covid-19对社会的影响 支持孕妇和产后监狱中的人。这项研究的结果有望从根本上 促进我们对Covid-19如何影响卫生服务，社会支持和良好的理解 在监狱中怀孕和产后人。确定影响健康和健康的关键因素 大流行期间的人口将为监狱政策，实践和计划的变更提供信息。 最终，这项工作将产生关键信息，以满足该人群的复杂健康需求， 降低健康差异，并促进涉及正义妇女及其婴儿的健康平等。