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

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， 美国有300人死于新冠肺炎。怀孕和产后的人增加了健康 更有可能因COVID-19感染而患上重病，对他们的健康造成严重后果 和后代的健康对于监狱中的孕妇和产后妇女， 使COVID-19疫情更加不稳定。居住条件拥挤，通风不良， 不卫生的环境都为COVID-19的传播创造了条件。在整个大流行期间， 监狱和监狱中的COVID-19发病率和死亡率一直高于一般情况 人口为了限制疾病的传播，监狱修改了与医疗服务、住房、 就业，娱乐，志愿者运行的编程，和访问。然而，人们对它的影响知之甚少。 2019冠状病毒病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了这一人口的健康和福祉。利用我们 正在进行的工作，加强围产期方案在六个国家监狱通过我们的父母R 01，这 行政补充旨在评估COVID-19对以下人群的卫生服务和社会支持的影响： 监狱中的孕妇和产后妇女及其健康和福祉受到的影响。 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。 在监狱中的产后人员可以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-减少这一边缘化人口的健康差距。我们将 通过分析与关键利益相关者的定性访谈来实现这一目标;进行系统的 文件审查;调查监狱管理人员;并采访孕妇和产后妇女，以：1） 衡量COVID-19对医疗保健服务的影响，以及2）评估COVID-19对社会的影响 为狱中孕妇和产后妇女提供支助。这项研究的结果预计将从根本上 推进我们对COVID-19如何影响卫生服务，社会支持的理解，以及- 怀孕和产后的人在监狱里。确定影响健康的关键因素- 在大流行期间成为这一群体的成员将为监狱政策、做法和方案的变化提供信息。 最终，这项工作将产生关键信息，以满足这一人口复杂的健康需求， 减少健康差距，促进参与司法的妇女及其婴儿的健康公平。

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.