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.     

Land,Life and Labour: Indo‐Fijian Claims to Citizenship in a Changing Fiji

Since the coup of May 2000 an estimated 24,000 Indo‐Fijians have left Fiji, the majority of them moving to Australia, New Zealand, Canada and the US. Those who remain in Fiji have faced increasing marginalisation as the government of Prime Minister Qarase has proposed significant reforms to both the administration of land and Constitutional arrangements of political representation. The situation has been further compounded through Qarase's recently proposed ‘Unity Bill’, which would grant amnesty to some of those responsible for the 2000 coup. These reforms are all part of an effort to ensure the ‘paramountcy’ of indigenous Fijians as well as to limit Indo‐Fijian participation in Fijian national politics. In this paper, I employ Greenhouse's concept of ‘empirical citizenship’ to analyse Indo‐Fijian responses to their political marginalisation in Fiji. After considering how national identities and sentiments of belonging are expressed in Indo‐Fijian discourse through the symbolic inter‐connection of the land and the Indo‐Fijian body, I argue that even if Indo‐Fijians are openly willing to recognize indigenous Fijian supremacy in national politics and the project of nation‐making, assertions of their right to live and labour on Fijian land constitute claims to ‘citizenship’ that are highly contestable in Fiji's current political climate.     

The Art of Wounded Hope: Forced Migration,Prophecy and Aesth/Ethics

ABSTRACT

This paper constructs an analogy between art and prophecy, exploring and comparing their relationship to political change. It does so through considering arts-based responses to the contemporary forced migration context in conversation with the book of Jeremiah. Recognizing that the artistic – in the case of Jeremiah, the poetic – can be an important means of resistance for those experiencing exile and injustice, this paper delineates two key ways in which visual arts, poetry, music and theater are playing a prophetic role in relation to migration today. First, the arts can generate prophetic revelation, helping people to see more clearly and truthfully the pain and suffering experienced by forced migrants. Second, the arts can enliven prophetic imagination, helping people to visualize creatively how a world-in-migration could be at its best by offering glimpses of oneness and hope. The paper concludes by pointing out some ambiguities involved in engaging with the arts as a means of prophecy.     

Re‐mythologizing the State: Public Security, ‘the Jesus Strategy’ and the Fiji Police

ABSTRACT My primary concern is with tracing how the police force has been transformed from a secular institution into an overtly religious one. Drawing from scholarly work on charismatic leadership and its routinization in institutional forms, much of it inspired by Max Weber's early work on these themes, my overarching aim is to grapple with the significance of Commissioner Teleni's reforms not only for the Fiji police force but more broadly for the shape of the Fijian state. While recognizing the acute importance of international relations in establishing and supporting Fiji's various political regimes, my focus here is firmly on the domain of the nation‐state as I wish to assess how politicians, military leaders, and now the Commissioner of Police attempt to constitute mass public support through their use of Christian rhetoric.     

Liberalism and nationalism in Russia. Boris Chicherin as a modernist nationalist

This article investigates the link between nationalism and liberalism in Russia by looking at the way the leading spokesman of early Russian liberalism, Boris Chicherin, combined liberal ideas with notions of nation‐building and the idea of the nation as a modernising phenomenon. The article argues that the young Chicherin, at least in the formative years of the 1850s, had an instrumental approach to liberalism. Liberalism served a specific purpose – to integrate the people and shape a community of active citizens so that Russia could modernise. Chicherin was concerned with the formation of a modern nation‐state rather than the establishment of popular rule or political rights. In this sense, his thinking fits well into what, in the context of the Ottoman Empire, has been called modernist nationalism.     

Career paths and mobility in the Swedish hospitality sector

ABSTRACT

How career paths are interpreted and conceptualised by hospitality workers and industry representatives remains underexplored in current literature. In this paper, we highlight and discuss sector-specific and contextual factors that influence the possibility of establishing a career within the Swedish hospitality sector. The paper uses interviews with hotel managers, who describe and discuss motivations and choices made throughout their own careers and interviews with young (former) seasonal hospitality workers who describe and reflect on their future plans and work-life experience. Additional data are derived through observations at national seminars and meetings for representatives from the Swedish tourism and hospitality industry, where issues of competence and careers were discussed. The findings indicate that the shaping of career paths within the hospitality sector is influenced by two normative and discursively produced ‘truths’ about career paths in the hospitality sector: the importance of internal knowledge transfer and the importance of high mobility. These narratives impose expectations on individuals to be mobile, to change jobs frequently and to work their way from the bottom-up within the industry, and are based on a presumption of a diversified and dense local hospitality labour market. However, since the conditions are different due to contextual, geographical features of labour market size and structure, attractiveness of places, etc., these expectations are difficult to fulfil in places other than in larger urban areas. These normative assumptions of what a successful hospitality career is also have consequences for the development of the hospitality sector as external influences of competence from other sectors and higher education are not seen as valuable, which makes the sector self-contained and not open to external, potentially innovative knowledge.