OBJECTIVE Early exposure to drug use and sexual abuse may contribute to later substance use, causing downstream effects on sexual and pregnancy-related behaviors. We applied the life course perspective to qualitative interview findings conducted with women with criminal legal involvement to explore connections between participants' early exposure to drugs and childhood sexual abuse with subsequent engagement with substance use and sexual and reproductive behaviors. METHOD We analyzed semistructured interviews with 33 racially diverse women with criminal legal involvement, Ages 18-65, who were recruited from a community organization in the Midwestern United States to explore their experiences and perspectives on factors that influenced their substance use and reproductive health behaviors. We used a modified grounded theory approach and retroactively applied the life course perspective model to inform and organize our data. RESULTS Fifteen participants described exposure to substances and/or sexual abuse at a young age which played a role in influencing later life behaviors involving substance use and sexual and reproductive health. For some participants, the accumulation of experiences further contributed to shared pregnancy behaviors and outcomes including unexpected and rapid repeat pregnancies and difficulty abstaining from drug use while pregnant. CONCLUSIONS Early life experiences may influence later life sexual and reproductive health behaviors. These experiences must be considered when engaging with women in patient-centered and trauma-informed ways in settings where they seek care including carceral facilities, obstetrics and gynecology and primary care clinics, and substance use disorder treatment programs. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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涉及刑事法律和药物滥用障碍的妇女的性健康和生殖健康行为：生命历程的视角。

目的 早期接触毒品和性虐待可能会导致以后的物质使用，从而对性和怀孕相关行为产生下游影响。我们将生命历程的视角应用于对涉及刑事法律的女性进行的定性访谈结果，以探讨参与者早期接触毒品和儿童期性虐待与随后的药物使用以及性行为和生殖行为之间的联系。方法 我们分析了对 33 名年龄在 18-65 岁、年龄在 18-65 岁、从美国中西部的一个社区组织招募来的、有刑事法律关系的不同种族女性的半结构化访谈，以探讨她们对影响药物使用和生殖健康行为的因素的经历和看法。我们使用了修改后的扎根理论方法，并追溯应用生命历程视角模型来告知和组织我们的数据。结果 15 名参与者描述了年轻时接触物质和/或性虐待的情况，这对影响以后的生活行为（涉及物质使用以及性健康和生殖健康）发挥了作用。对于一些参与者来说，经验的积累进一步促成了共同的怀孕行为和结果，包括意外和快速的重复怀孕以及怀孕期间难以戒毒。结论 早期生活经历可能会影响以后的性健康和生殖健康行为。在以患者为中心和创伤知情的方式与女性接触时，必须考虑这些经历，包括在监狱设施、妇产科和初级保健诊所以及物质使用障碍治疗计划等环境中寻求护理。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。