{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T12:34:06Z","timestamp":1783600446382,"version":"3.55.0"},"reference-count":72,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2017,9,7]],"date-time":"2017-09-07T00:00:00Z","timestamp":1504742400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Educ Behav"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:p>Justice-involved HIV-positive women have poor health outcomes that constitute health inequities. Researchers have yet to embrace the range of qualitative methods to elucidate how psychosocial histories are connected to pathways of vulnerability to HIV and incarceration for this key population. We used life course narratives and intersubjectivity\u2014predicated on interview dialogue\u2014to investigate how familial and social settings established their social patterning of HIV, incarceration risk, and poor health. Working with two Alabama community-based organizations, we recruited and interviewed 24 HIV-positive cisgender women with cyclical incarceration. We analyzed the data by charting women\u2019s life histories and conducting iterative content analyses. Participants described chaotic home environments, marked by exposure to trauma in childhood. The majority experienced repeated sexual and physical abuse that went undiagnosed and untreated until adulthood. Adolescence and young adulthood were characterized by onset of substance use, violent intimate partnerships, and subsequent behavioral and mental health problems. In adulthood, risk behaviors persisted for decades and women lacked mental health treatment and social support. Life course narratives and intersubjectivity contributed to knowledge by affording agency to marginalized participants to reflect on and narrate their life stories; instilling needed trust for researchers to investigate the complex risk pathways and psychosocial histories with this population; illuminating the nature, timing, sequence, and frequency of events underlying women\u2019s vulnerability and exposure to HIV and incarceration; and clarifying that early shaping events in childhood are connected to later risk environments and behaviors in adolescence and adulthood, suggesting the need for earlier interventions than are typically proposed.<\/jats:p>","DOI":"10.1177\/1090198117726573","type":"journal-article","created":{"date-parts":[[2017,9,8]],"date-time":"2017-09-08T00:20:37Z","timestamp":1504830037000},"page":"716-727","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":29,"title":["Qualitative Research Methods to Advance Research on Health Inequities Among Previously Incarcerated Women Living With HIV in Alabama"],"prefix":"10.1177","volume":"44","author":[{"given":"Courtenay","family":"Sprague","sequence":"first","affiliation":[{"name":"University of Massachusetts Boston, Boston, MA, USA"},{"name":"University of the Witwatersrand, Johannesburg, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael L.","family":"Scanlon","sequence":"additional","affiliation":[{"name":"University of Massachusetts Boston, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W.","family":"Pantalone","sequence":"additional","affiliation":[{"name":"University of Massachusetts Boston, Boston, MA, USA"},{"name":"The Fenway Institute, Fenway Health, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,9,7]]},"reference":[{"key":"bibr1-1090198117726573","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/oso\/9780199276363.001.0001","volume-title":"Public health, ethics, and equity","author":"Anand S.","year":"2004"},{"key":"bibr2-1090198117726573","doi-asserted-by":"publisher","DOI":"10.3102\/0013189X031007028"},{"key":"bibr3-1090198117726573","doi-asserted-by":"publisher","DOI":"10.1525\/jer.2011.6.4.84"},{"key":"bibr4-1090198117726573","doi-asserted-by":"publisher","DOI":"10.1177\/009385480102800503"},{"key":"bibr5-1090198117726573","volume-title":"Biography and society: The life history approach in the social sciences","author":"Bertaux D.","year":"1981"},{"key":"bibr6-1090198117726573","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)61693-1"},{"key":"bibr7-1090198117726573","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.27.021405.102103"},{"key":"bibr8-1090198117726573","doi-asserted-by":"publisher","DOI":"10.1136\/jech.57.4.254"},{"key":"bibr9-1090198117726573","doi-asserted-by":"publisher","DOI":"10.1016\/S0160-2527(99)00011-4"},{"key":"bibr10-1090198117726573","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2015.1109694"},{"key":"bibr11-1090198117726573","volume-title":"Prisoners in 2013","author":"Carson A.","year":"2014"},{"key":"bibr12-1090198117726573","unstructured":"Centers for Disease Control and Prevention. (2014). Intersection of intimate partner violence and HIV in women. Atlanta, GA: Author. Retrieved from http:\/\/www.cdc.gov\/violenceprevention\/pdf\/ipv\/13_243567_green_aag-a.pdf"},{"key":"bibr13-1090198117726573","unstructured":"Centers for Disease Control and Prevention. (2015a). HIV among incarcerated populations. Atlanta, GA: Author. Retrieved from http:\/\/www.cdc.gov\/hiv\/group\/correctional.html"},{"key":"bibr14-1090198117726573","unstructured":"Centers for Disease Control and Prevention. (2015b). HIV in the southern United States (CDC Issue Brief). Atlanta, GA: Author. 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