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Background: HIV risk behavior in women who use drugs is related to myriad psychosocial issues, including incarceration. The experience of incarceration elevates women’s HIV risk by disrupting social networks, housing, employment, and access to health care. During the COVID-19 pandemic, changes in criminal-legal practices resulted in decreased incarceration, especially among women. These changes may have largely altered HIV risk among women who use drugs, depending on their access to care in the community. Objective: This study seeks to build knowledge about the impact of shifts in criminal-legal practices during the COVID-19 pandemic on HIV risk behaviors of justice-involved women who use drugs. Methods: Qualitative methods are used to gather and analyze women’s narratives about their life experiences before and during the COVID-19 pandemic, with a focus on individual and structural determinants of HIV risk behaviors. Thirty formerly incarcerated women with a history of substance use are being recruited through collaboration with community partners. Each participant completes a sociodemographic survey and two interviews. The first interview uses a life history instrument that invites participants to reflect on key turning points in their lives. The second interview uses a calendar approach to gather information about participants’ lives during the first year of the COVID-19 pandemic (March 2020-March 2021). The interviews (1 hour each) are audio-recorded and transcribed for analysis. Rapid Qualitative Inquiry and thematic analysis are being used to manage, organize, and interpret the data. The study team will collaborate with a subset of participants to develop digital stories about their COVID-19 experiences, a process that allows for member-checking and triangulation. Findings will be disseminated to program and policy makers in academic venues, community settings, and social service agencies. Results: To date, 10 women’s data have been collected. In total, two themes have been identified in this preliminary data: (1)the chaos and instability of participants’ lives increased during the COVID-19 pandemic: participants reported a wide range of psychosocial and health problems and limited engagement with social service systems. Interaction with criminal-legal systems was rife with uncertainty; participants described living in a state of limbo, which was extremely stressful. (2) When asked to describe a “turning point” in their lives, many participants attributed their substance use to the traumatic loss of a child due to death, incarceration, or termination of parental rights. During the COVID-19 pandemic, participants’ struggles to cope with these unresolved experiences of grief and loss were intensified by the widespread death and dying of the pandemic. Conclusions: Preliminary findings suggest that HIV risk factors increased for participants during the COVID-19 pandemic and invite further investment in community-based harm reduction programs, especially housing, that support women who use drugs. Interventions that address experiences of maternal grief and loss may reduce women’s substance use. Trial Registration:
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Queering Desire explores, with unprecedented interdisciplinary scope, contemporary configurations of lesbian, bi, queer women’s, and non-binary people’s experiences of identity and desire. Taking an intersectional feminist and trans-inclusive approach, and incorporating new and established identities such as non-binary, masculine of centre (MOC), butch, and femme, this collection examines how the changing landscape for gender and sexual identities impacts on queer culture in productive and transformative ways. Within queer studies, explorations of desire, longing, and eroticism have often neglected AFAB, transfeminine, and non-binary people’s experiences. Through 25 newly commissioned chapters, a diverse range of authors, from early career researchers to established scholars, stage conversations at the cutting edge of sexuality studies. Queering Desire advances our understanding of contemporary lesbian and queer desire from an inclusive perspective that is supportive of trans and non-binary identities. This innovative interdisciplinary collection is an excellent resource for scholars, undergraduate, and postgraduate students interested in gender, sexuality, and identity across a range of fields, such as queer studies, feminist theory, anthropology, media studies, sociology, psychology, history, and social theory. In foregrounding female and non-binary experiences, this book constitutes a timely intervention.