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Driven by a community concern for increasing rates of syphilis and congenital syphilis among women who are structurally disadvantaged, this study focuses on their experiences with reproductive healthcare access across healthcare settings.<\/jats:p>\n                  <jats:p>Research Design and Study Sample: This community-based\u00a0 pl\u00e1ticas\u00a0(conversational) research project gathered 12 in-depth interviews and\u00a0 testimonios\u00a0(testimonies) with women who reported a criminalized upstream barrier (incarceration, homelessness, and\/or substance use) in a small city in the southwestern U.S.\u00a0\u2013\u00a0most of whom identified as Latina\/Hispanic.<\/jats:p>\n                  <jats:p>Analysis and Results: Using a grounded analysis and drawing upon Chicana feminist methodologies, this study identifies four major themes: (1) homelessness and economic vulnerabilities, (2) incarceration and health care, (3) drug use, provider stigma, and motherhood, and (4) desired changes to the healthcare experience.<\/jats:p>\n                  <jats:p>Conclusion: Results highlight the need for economic and transportation supports, community-based preventive services as alternatives to incarcerated healthcare, along with more compassionate and structurally competent provider-patient dialogue.<\/jats:p>","DOI":"10.1177\/2752535x241277352","type":"journal-article","created":{"date-parts":[[2024,8,21]],"date-time":"2024-08-21T20:09:50Z","timestamp":1724270990000},"page":"207-221","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["\u201cI Was Treated Differently\u201d: Reproductive Health Care Experiences Among Women With Recent Experiences of Incarceration, Homelessness, And\/Or Substance Use in a Medically Underserved Area in the Southwestern 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