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.     

Viewing obesogenic advertising in children's neighbourhoods using Google Street View

The advertising of unhealthy food and beverages forms an important component of obesogenic environments. Such marketing to children is a key health determinant because of its impact on dietary preference and food purchasing behaviour. The location of outdoor advertising is important in exploring obesogenic environments and children's neighbourhoods. The aim of this study is to explore issues involved in the use of Google Street View to examine outdoor food and beverage advertising. The implications for using Google Street View in the context of neighbourhood built environment research and grass‐roots advocacy are discussed. The study was conducted within walkable distances from 19 primary and intermediate schools in Auckland, New Zealand, where “walkable” was defined as limited by 800 m road network boundaries, which are equivalent to school buffer boundaries. Google Street View allows for centrality of data collection, coding, and storage. However, challenges exist with the method because 727 (29.4%) of a total of 2,474 outdoor advertisements that were identified were not able to be categorised because images were unclear, not in English, blocked, or at angles where detail cannot be deciphered. Specific to outdoor advertising for food and beverages, the results presented here show that children are exposed to a significantly greater number of unhealthy advertising than other advertising, P=0.001, eta‐squared statistic (0.45) indicates a large effect size. Overall, the results show promise for the use of Google Street View in the study of obesogenic environments.     

The Construction of the League of Nations Secretariat. Formative Practices of Autonomy and Legitimacy in International Organizations

This article investigates the formative staffing practices of the League of Nations Secretariat. Drawing on the social theory of Pierre Bourdieu, it argues that core traits of the League's institutional capacity and identity was produced through the institutionalization of recruitment practices in the League's formative years from 1919 to 1923. Through an exploration of early negotiations and practices of staffing, we show how the League built and balanced legitimacy, by combining a clearly international make-up of the League Secretariat with acute sensitivity to state interests, and autonomy, by defending the Secretary-General's exclusive prerogative of staffing, in a way that has been defining for the trajectory of international organizations (IOs) until today. The article thus turns to the institutional landscape where the individual and its surroundings meet: through the daily staffing practices of the Secretariat, it explores how an institution came to be, function and assert its influence as an autonomous and legitimate diplomatic agent in a broader international field. As such, the article, as an innovative contribution to the field, argues that international historians should connect thorough institutional investigations with elements of the ‘cultural turn’ in International History, in order to properly engage with and understand IOs as diplomatic actors.     

The Wadi al‐Hijr (Sultanate of Oman) in the third millennium BC

In 2010–11 a pedestrian survey of the western end of Wadi al‐Hijr in northern Oman identified 1507 archaeological features in a 124 km² area. Data were collected on each feature's architectural characteristics, associated artefact assemblages, topographic and environmental locations, condition of remains, and relations to other archaeological features. The majority of datable features belong to the third millennium BC and divide unequally between the Hafit and Umm an‐Nar periods. While the majority of these third‐millennium BC features were tombs, other feature types were identified, including towers, settlements, quarries, dams, enclosures, and possible platforms. Third‐millennium BC features were organised into clusters and ranged considerably in size, from a few features to several hundred. All of the clusters established during the Hafit period were maintained in the Umm an‐Nar period, suggesting a continuity throughout the third millennium. Some preliminary hypotheses regarding settlement patterns are suggested.     

L'identification des zones calmes et un diagnostic d’équité environnementale à Montréal

Quiet urban areas are places with low noise levels that can help people to support physical and mental wellness. This paper has two objectives: to identify quiet urban areas in Montreal and to check for the presence of environmental inequities in access to such areas for vulnerable groups (children, older people, low‐income individuals, and visible minorities). Using a GIS‐based methodology, 2,282 quiet urban areas were identified in Montreal. The results of a mixed effects logistic regression model analysis showed that there are no major inequities in access to quiet urban areas for the population groups studied. The analysis did, however, revealed substantial spatial disparities in terms of the distribution of quiet urban areas across the boroughs and municipalities examined.     

Spatial Tactics in Criminal Courts and the Politics of Legal Technicalities

This paper documents court‐imposed bail and sentencing conditions with spatial dimensions, such as red zones, no contact conditions, curfews and prohibitions to demonstrate, issued in the context of criminal proceedings. These conditional orders, which are growing in importance and have a significant impact on the lives of marginalized groups of people, have not received the attention they deserve in the literature. As opposed to better publicized forms of spatial regulation such as legislation or policing strategies, these conditional orders are a distinctive form of spatial tactic that rely on ancient and routinized rules of criminal procedure and the practices of the courts. In order to understand this spatial tactic, and its impact on marginalized people's rights and uses of spaces, we argue that it is necessary to pay attention to the legal rationalities, knowledge and practices that sustain them.     

Towards the Construction of a Typology of Management Models of Shooting Opportunities in Scotland

In Scotland, the shooting industry has a significant impact on the economy, the environment and rural communities. However, styles of land management vary widely, and this is likely to have an effect on the benefits of shooting management. Here we construct a typology of management models, and test its utility in explaining economic benefits. Based on semi-structured interviews with 24 stakeholders representing 28 estates, three management models were defined: ‘Commercial Shooting Estates’ (CSE), ‘Non-commercial Shooting Estates’ (NSE) and ‘Diversified Estates’ (DE). DEs are differentiated from the other models as forestry, farming or biodiversity conservation, rather than shooting, is the main management objective. CSE and NSE are differentiated based on the degree of commercialisation of the shooting: CSEs let almost all of their shooting whereas NSEs do not let any shooting. Were the typology to be applied to a wider, systematic sample of estates, other factors may become more clearly differentiated. We found little variation between the three models in terms of spending and employment directly related to shooting activities. This study presents a typology of shooting management models that can be used to help identify pathways towards a new social contract between Scottish society and its landowners and managers.     

What does a republican government with Donald Trump as President of the USA mean for children,youth and families?

This viewpoint outlines the likely impact of the election of a Republican government with Donald Trump as President on children, youth and families. It focuses primarily on the impact on undocumented and mixed-status families, and briefly addresses the impacts on children’s health services, juvenile justice and education.     

Identification of limits and barriers to climate change adaptation: case study of two islands in Torres Strait,Australia

Communities living on remote islands are often viewed as among the most exposed and vulnerable to climate change impacts. This study uses the Sustainable Livelihoods Framework to investigate how indigenous communities living on two physically different islands in Torres Strait, Australia, experience what they consider to be the impacts of climate change in relation to their daily lives. During this process, a series of natural, physical, and socio‐cultural limits and barriers to climate change adaptation were identified on Boigu, a low‐lying mud island inundated by the sea during high tides and storm surges. As a volcanic island, Erub's elevation is higher but significant community infrastructure, housing, and cultural sites are located on the low coastal fringe. No immediate limits to climate change adaptation were identified on Erub, but physical and socio‐cultural barriers were revealed. Limits to climate change adaptation occur when adaptation actions fail to protect the things valued by those affected, or few adaptation options are available. Barriers to climate change adaptation may be overcome if recognised and addressed but can become entrenched limits if they are ignored. Within the participating communities, such limits and barriers included (a) restricted adaptation options due to limited access to particular livelihood assets; (b) difficulty engaging with government processes to secure external support; and (c) people's place‐based values, which evoke a reluctance to relocate or retreat.