The Impact of Drug Use and Crime Involvement on Health Problems Among Female Drug Offenders

Health problems comprise some of the most important concerns about female offenders today. In comparison to others, they suffer more frequent and serious chronic disease, acute illness, and injuries. Although many have argued that these higher rates can be explained by poverty, inaccessible medical care, and poor nutrition, few have studied the impact of the severity of criminal and substance abuse involvement on the same. Consequently, the authors ask if these factors help explain the likelihood of leading health problems of female cocaine-abusing offenders. Bivariate logistic regression analyses on women (n = 848) from Dade County, Florida, show important effects of criminal and substance abuse involvement on chronic disease and illness, sexually transmitted diseases and HIV/AIDS, and mental illness. However, after controlling for demographic variables with multivariate logistic models, their predictive power decreases substantially. The findings lend insights to both theoretical models explaining health problems and to policy recommendations for female offenders and inmates.