In general, women use more health services than men, but with limited access to health care in prison, women tend to experience multiple problems. In addition to alcohol and drug abuse, the most frequently cited health concerns among incarcerated women include HIV, sexually transmitted diseases, pregnancy-related problems, gynecological problems, obesity, dental problems, and chronic health problems such as hypertension and asthma. Incarcerated women also experience a variety of mental health problems including depression, anxiety, and post-traumatic stress disorder. A high number of incarcerated women report being victims of physical or sexual abuse. The 51 participants were incarcerated females from the Kentucky Correctional Institute for Women. Perspectives from 34 females who participated in focus groups in prison are discussed. Findings indicate that there are a variety of health-related services in rural and urban communities for women and their children. Participants indicated that they used community health services for their own routine check-ups and when they experienced physical health problems. There was a general distrust and dislike of physicians. While service availability did not seem to be an issue, accessibility appeared to be limited by a variety of factors. The most significant identified barrier to health care was drug and alcohol use. Some feared getting caught while others said they did not care enough about themselves to seek treatment when they were using drugs. Other participants indicated that they used drugs to self-medicate and treat their own health problems. Other issues affecting access to health care included lack of money, living in a rural area, and victimization. A large percentage of these women reported past victimization experiences. Domestic violence resources were rarely used although most women were familiar with them. Not only did domestic violence have a tremendous impact on the health and mental health of the victim, it also served as a major barrier for seeking services. 1 table, 34 references