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Data were drawn from a larger qualitative study situated in a western Canadian inner-city neighborhood that examined the health-management strategies of street-involved women with a history of crack cocaine use. Data were collected over a 17-month period and included ethnographic methods of participant observation, group interviews ( n = 57), and in-depth interviews ( n = 10). Inductive thematic analysis derived two major themes: power and punishment, and organization and delivery of care. The themes illustrate how women\u2019s experiences and decision making were located within a nexus of power relations that operated across women\u2019s shared social location as downtown eastsiders. Implications of the findings are discussed in relation to supporting women\u2019s efforts and improving health outcomes.<\/jats:p>","DOI":"10.1177\/1049732313493352","type":"journal-article","created":{"date-parts":[[2013,6,13]],"date-time":"2013-06-13T00:23:08Z","timestamp":1371082988000},"page":"1016-1026","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":30,"title":["Health Care Among Street-Involved Women"],"prefix":"10.1177","volume":"23","author":[{"given":"Vicky","family":"Bungay","sequence":"first","affiliation":[{"name":"University of British Columbia, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,6,12]]},"reference":[{"key":"bibr1-1049732313493352","doi-asserted-by":"publisher","DOI":"10.1071\/PY09066"},{"key":"bibr2-1049732313493352","doi-asserted-by":"crossref","unstructured":"Adelson N. (2005). 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