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.     

Biomechanics of coaching maximal instep soccer kick for practitioners

Kicking in soccer has been the subject of scientific research for more than 40 years yet review articles summarizing the biomechanical fundamentals of kick optimization as a guide to coaching are scarcely to be found. The current review article aims to bridge the gap between scientific research into the maximal instep kick (including studies employing 3D motion capture and full-body biomechanical modelling) and the application of such research in coaching. It does so by supplying a scientifically founded, coaching-friendly article explaining identifiable characteristics and motor control sequencing that define this skill. Relevant biomechanical factors are identified in a way that should help coaches better develop training programmes and, at the same time, foster better understanding of the skill among athletes. Such information will contribute to both accelerated skill acquisition and, by concomitant gains in skill efficiency, the development of programmes that minimize risk of injury to athletes during training.     

Emerging vacuums of strategic planning: an exploration of reforms in Finnish spatial planning

The paper offers a theory-based evaluation of the ongoing reforms in the Finnish spatial planning regime. The paper argues that Finnish planning is moving in a reactive and market-driven direction. This development is not being brought about solely through a direct decrease in public discretionary powers in planning, but is also unfolding indirectly through a process of rescaling in the spatial planning regime. These processes increase municipal autonomy in relation to other planning scales, despite problems observed in the municipality-centred market-driven planning orientation. The resulting reduction in manoeuvring room in public planning is conceptualized in the paper as expanding vacuums of strategic planning. Building on concepts from the literature on state transformation theory and scale theory, the paper draws together theoretical and empirical conclusions from several case studies conducted in close-to-administration projects.