Spatial variation in cervical cancer screening participation and outcomes among Indigenous and non‐Indigenous Australians in Queensland

Indigenous women continue to experience a disproportionately higher burden of cervical cancer than non‐Indigenous women in Australia. The National Indigenous Cervical Screening Project used probabilistic record linkage to combine population‐based administrative databases and identify Indigenous women on Pap Smear Registers. This study aimed to quantify the spatial variation by local government areas (LGAs) for Indigenous and non‐Indigenous women in Queensland in cervical screening participation rates and related outcomes. Empirical Bayes local geostatistical smoothing was performed to reduce the likelihood of spurious variation between small areas. The cohort included 1,091,260 women (2 per cent Indigenous) aged 20 to 69 with 2,393,708 Pap smears between 2006 and 2011. Indigenous women had smoothed LGA‐specific 5‐year participation rates (interquartile range (IQR) 38.9–53.3 per 100 eligible women) consistently lower than non‐Indigenous women (IQR 80.7–85.3). The non‐overlapping confidence intervals of these rates suggest that the Indigenous differential was significant. Compared with Indigenous women, non‐Indigenous women had consistently lower and more stable prevalence rates of histologically confirmed high grade abnormalities (IQR 8.0–10.1 versus 15.0–21.3 per 1,000 screened women). Although the LGA‐specific rates also suggest that a higher proportion of non‐Indigenous women were followed‐up within two months of an abnormal screening result, the wide confidence intervals for these estimates limit our ability to draw definitive conclusions about spatial patterns for this outcome. These findings highlight the importance of continued monitoring and ongoing efforts to identify drivers of these patterns and develop effective strategies to improve participation and potentially reduce the cervical cancer burden among Indigenous women.     

The Precarity of Young People’s Housing Experiences in a Rural Context

Young people’s housing, economic and labour market circumstances have become increasingly insecure due to the combined effects of the 2007/2008 economic crisis, neoliberal welfare reforms, rising costs of higher education and the shortage of affordable housing. Discussions of young peoples’ experiences in these domains have largely neglected their spatial variability but evidence suggests that young people living in rural parts of the UK have distinctive experiences of housing, which are closely connected to labour markets and educational opportunities. By drawing on qualitative data from young people and housing professionals, this article explores some of these rural distinctions and frames them within theoretical debates about the ‘precariat’. It argues for a more theoretically informed and geographically nuanced understanding of contemporary housing issues as rural youth potentially face greater precarity than their urban peers.     

Philology and Presence

Various scholars have argued that the rise of modern information technology over the past century has coincided with a steady decline of traditional methods of learning and interpretation, and has contributed to the general sense of “worldlessness” or anomie. In the words of Paul Ricoeur, “we are overwhelmed by a flood of words, by polemics, by the assault of the virtual, which today create a kind of opaque zone.” Philology, the ancient discipline that grew in the past two centuries to encompass literary study, linguistics, and intellectual history, was originally conceived as a return to the past with the aim of retrieving the knowledge of bygone times. While the recent revival of interest in philology recognizes its importance to the humanities, it remains unnamed as such. The aim of my exploration of the history and practices of philology is to suggest how it can reinstate the presence of the past. With its attentiveness to language—undertaken in the silent spaces of private study, archive, and library—philology not only confirms the presence of the dead but also enacts a more fundamental return to “world.”     

DISTRIBUTION AND CONTEXT OF WORKED CRYSTALLINE ARTIFACTS FROM THE MIDDLE CUMBERLAND REGION OF TENNESSEE

Antiquarian and modern explorations within the Middle Cumberland region of Tennessee have uncovered vast quantities of ceramic, stone, bone, and shell artifacts. Objects made from mineral resources represent a modest percentage of the overall artifact assemblage. Specimens manufactured from crystals comprise a very small portion of the mineral sample, as only six worked crystalline artifacts are documented to date for the Middle Cumberland region. These specimens of fluorite and calcite consist of four earplugs, one bird effigy pendant, and one bead from four different Mississippian period sites. Fluorite and calcite deposits occur within the study area, but additional research is needed to determine whether these sources were used to make the Middle Cumberland items. The recovery of three earplugs (two of which are very unusual) and raw calcite crystals from the Castalian Springs mound complex comprises intriguing evidence for the production of crystalline objects as a site activity.     

Seventeenth-Century Vehicle of the Middle Passage: Archaeological and Historical Investigations on the Henrietta Marie Shipwreck Site

This study describes the archaeological investigations that have taken place at the wreck site of the English slave ship Henrietta Marie (1700) since its location in 1972. Information is provided on the methodology utilized during on-site archaeological data recovery, and the artifacts retrieved from the wreck site are described in detail. An account of complimentary documentary research on this wrecked slaver is also presented. Contemporary historical data gleaned from shipping lists, slaver’s logs, seamen’s wills and other sources are utilized to place Henrietta Marie within her proper context as a vehicle involved in the notorious transatlantic slave trade.