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.The latter part of the 20th century witnessed numerous troubling trends for criminal justice policy, several of which experts and practitioners have warned we are ill-equipped to handle. For instance, although the gap between males' and females' drug use and criminal involvement has remained over the years (with minor exception), latter 20th-century criminal justice policies have helped reduce the divide between them at arrest and incarceration.The relative growth of the female criminal justice population raises new issues for social policy and the agencies that administer it. One concern is the health of female offenders. Female offenders present more serious physical and mental health problems, whose treatment typically becomes the burden of the state due to punitive antidrug policies. In fact, jails and other detention facilities, hospital emergency rooms, and homeless shelters have tradition-