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.     

Afro-Caribbean migrants in France: employment,state policy and the migration process

"Afro-Caribbean labour in France plays a distinctive role relative to the French population as a whole and the foreign immigrant population. Using a variety of qualitative and quantitative sources, this paper demonstrates that the role of the state in the process of migration from the French Caribbean islands of Martinique and Guadeloupe from the early 1960s onwards was crucial.... Aggregate sources are used to describe detailed occupational distributions while records of individual migrants illustrate the process of migration and the influences on employment. At a time usually characterized by lack of direct involvement in migration by the French state, for Afro-Caribbeans state intervention in recruitment, training and settlement is shown to be very substantial."     

Book reviews

Frontiers

Poststructualist geographies: the diabolical art of spatial science. Marcus Doel. Pp. ix + 229. Edinburgh: Edinburgh University Press, 1999. Price: £45.00 (hbk), £14.95 (pbk). ISBN 0 226 48720 2 (hbk), ISBN 0 226 48721 0 (pbk).

Sleight‐of‐hand

New works in geography

Geography and enlightenment. Edited by David N. Livingstone & Charles W.J. Withers. Pp.viii + 455. Chicago & London: University of Chicago Press, 1999. Price £17.50 (pbk), £36.50 (hbk). ISBN 0 226 48721 0 (pbk), ISBN 0 226 48721 2 (hbk).

Secure from rash assault. Sustaining the Victorian environment. James Winter. Pp. xi + 342. Berkeley: University of California Press, 1999. Price: £ 24.95 (hbk). ISBN 0 520 21609 1.

Perspectives on British rural planning policy, 1994–97. Andrew W. Gilg. Pp. viii + 154. Aldershot: Ashgate, 1999. Price £35.00 (hbk). ISBN 1 85972 641 0 (hbk).

Exploring contemporary migration. Paul Boyle, Keith Halfacree & Vaughan Robinson. Pp. 272. London: Longman, 1998. Price £18.99 (pbk). ISBN 0 58225 161 3.

Focus on Scotland

Urban highlanders: Highland‐lowland migration and urban Gaelic culture, 1700–1900. Charles W.J. Withers. Pp. 271. East Linton: Tuckwell Press, 1998. Price £20.00 (pbk). ISBN 1 86232 040 5.

Girls in trouble: sexuality and social control in rural Scotland, 1660–1780. Rosalind Mitchison & Leah Leneman. Pp. viii + 144. Edinburgh: Scottish Cultural Press, 1998. £10.95 (pbk). ISBN 1 898218 89 7 (pbk).

Girls in trouble: sexuality and social control in urban Scotland, 1660–1780. Rosalind Mitchison & Leah Leneman. Pp. viii + 164. Edinburgh: Scottish Cultural Press, 1998. £12.95 (pbk). ISBN 1 898218 90 0 (pbk).     

Immigrant Inclusion in the Safety Net: A Framework for Analysis and Effects on Educational Attainment

Across states, there is substantial variation in the degree to which immigrants and their children are offered public assistance. We present a theoretical framework for analyzing the effects of policy decisions about immigrant inclusion. We apply the framework to investigate the effect of the state safety net on educational attainment. We focus on the years following welfare reform in 1996, when states gained considerable autonomy over welfare policy, including decisions about the eligibility of immigrant residents. Leveraging state‐level data from before and after reform, we estimate a difference‐in‐difference model to identify the effect of variation in immigrant inclusivity on educational attainment. We find that when states broaden the inclusivity of the social safety net to immigrants, young Latinos are more likely to graduate from high school. This effect is present beyond the group of Latino residents who receive additional benefits, suggesting that policy decisions about immigrants spill over to broader communities and communicate broader messages about social inclusion to racial and ethnic groups. We find similar patterns among Asian youth, but not among black and non‐Hispanic white youth. We conclude that immigrant inclusion has consequences for the life prospects of the growing population of youth in high‐immigrant ethnic groups.     

A comparative study of Caribbean return migration from Britain and France: towards a context-dependent explanation

"The currently dominant element in the labour migration from the Caribbean to Britain and France is a return flow of migrants. This paper focuses on the migrations from the Commonwealth and the French Caribbean to Britain and France respectively. While these migrations are historically similar in origin, subsequent differences in the colonial and immigration policies of Britain and France have resulted in divergent migration trends and experiences. New sources of data are drawn on in this comparative study of return migration to the Caribbean, providing up-to-date information on the size and demographic characteristics of the returnee populations. Equally important to this study is the section of the migrant population who are likely to remain in Europe. The authors argue that a comprehensive model of labour migration would need to incorporate the non-return situation in its dynamic entirety."