scholarly journals Marrying research, clinical practice and cervical screening in Australian Aboriginal women in western New South Wales, Australia

2009 ◽  
Author(s):  
Christine Read ◽  
deborah bateson
Keyword(s):  
Clinical Practice ◽  
New South ◽  
Cervical Screening ◽  
New South Wales ◽  
Australian Aboriginal ◽  
Aboriginal Women ◽  
South Wales

High-grade cervical abnormalities and screening intervals in New South Wales, Australia

2008 ◽  
Vol 15 (1) ◽  
pp. 36-43 ◽  
Author(s):  
Suzanne Schindeler ◽  
Stephen Morrell ◽  
Yeqin Zuo ◽  
Deborah Baker
Keyword(s):  
Cervical Cancer ◽  
New South ◽  
Cervical Screening ◽  
New South Wales ◽  
Pap Test ◽  
Intraepithelial Neoplasia ◽  
High Grade ◽  
Screening Interval ◽  
South Wales ◽  
Screening Intervals

Objectives This study aims to determine the association of two versus three year screening intervals with the likelihood of detection of a high-grade cervical abnormality and cervical cancer. Methods Data were obtained from the New South Wales (NSW) Papanicolaou (Pap) Test Register (PTR) and NSW Central Cancer Registry (CCR). Subjects were human papillomavirus (HPV) unvaccinated women aged 20-69 years who had a minimum of two Pap tests with a negative result at their first recorded Pap test (n = 1,213,295). Logistic regression was used to determine the association between screening interval and the likelihood of: (1) a cytological prediction of high-grade abnormality, defined as cervical intraepithelial neoplasia (CIN) 2 or greater; (2) a histologically confirmed high-grade abnormality; (3) a cytological prediction of cervical cancer and (4) a confirmed diagnosis of cervical cancer, controlling for potential confounders of age and socioeconomic status (SES) of area of residence. Results For each year increase in the screening interval, the odds of a histologically confirmed high-grade abnormality increased significantly in women aged 20-29 years (odds ratio [OR] 1.24, 95% confidence interval [CI] 1.20-1.28) and in women aged 30-49 years (OR 1.11, 95% CI 1.06-1.16), but not in women aged 50-69 years (OR 1.08, 95% CI 0.89-1.32). Similar results were observed for cytologically detected high-grade abnormalities. The screening interval was significantly and positively associated with a cytological prediction of cervical cancer (OR 1.40, 95% CI 1.28-1.54) and a confirmed cervical cancer diagnosis (OR 1.66, 95% CI 1.33-2.07) in women aged 20-69 years. We estimate that if the screening interval were increased from two to three years, and the number of women participating in triennial screening participation was the same as for biennial participation in NSW, then 267 (95% CI 186-347) extra cases of high-grade abnormalities would be detected annually by cytology and 225 extra cases (95% CI 160-291) confirmed by histology, mostly confined to women aged 20-49 years. Equivalently, 2.3 (95% CI 1.8-2.8) and 1.9 (95% CI 1.5-2.4) extra cases of high-grade cytology and histology, respectively, would be expected per 1000 women with initially negative cytology if the screening interval were extended from two to three years. Conclusion Increasing the cervical screening interval from two to three years would be expected to significantly increase the odds of detection of a high-grade abnormality for NSW women aged 20-49 years and cervical cancer for NSW women aged 20-69 years. Accordingly, our study provides evidence in support of retaining the recommended cervical screening interval at two years for HPV unvaccinated, well women.

Holistic Conceptualizations of Health by Incarcerated Aboriginal Women in New South Wales, Australia

2019 ◽  
Vol 29 (11) ◽  
pp. 1549-1565 ◽  
Author(s):  
Sacha Kendall ◽  
Stacey Lighton ◽  
Juanita Sherwood ◽  
Eileen Baldry ◽  
Elizabeth Sullivan
Keyword(s):  
Health Care ◽  
New South ◽  
New South Wales ◽  
Well Being ◽  
Indigenous Research ◽  
Social And Emotional ◽  
Aboriginal Women ◽  
Health Care Experiences ◽  
South Wales ◽  
Women In Prison

While there has been extensive research on the health and social and emotional well-being (SEWB) of Aboriginal women in prison, there are few qualitative studies where incarcerated Aboriginal women have been directly asked about their health, SEWB, and health care experiences. Using an Indigenous research methodology and SEWB framework, this article presents the findings of 43 interviews with incarcerated Aboriginal women in New South Wales, Australia. Drawing on the interviews, we found that Aboriginal women have holistic conceptualizations of their health and SEWB that intersect with the SEWB of family and community. Women experience clusters of health problems that intersect with intergenerational trauma, perpetuated and compounded by ongoing colonial trauma including removal of children. Women are pro-active about their health but encounter numerous challenges in accessing appropriate health care. These rarely explored perspectives can inform a reframing of health and social support needs of incarcerated Aboriginal women establishing pathways for healing.

Barriers to the use of paediatric clinical practice guidelines in rural and regional New South Wales Australia

2015 ◽  
Vol 24 (1) ◽  
pp. 23-28 ◽  
Author(s):  
Sarah L. Cohn ◽  
Bijender Gautam ◽  
John S. Preddy ◽  
John R. Connors ◽  
Sean E. Kennedy
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
New South ◽  
New South Wales ◽  
South Wales

Films : “On the Job” – A series about people and their work

1984 ◽  
Vol 12 (4) ◽  
pp. 57-58
Keyword(s):  
Western Australia ◽  
Aboriginal People ◽  
New South ◽  
New South Wales ◽  
South Australia ◽  
Northern Territory ◽  
Job Seekers ◽  
Aboriginal Women ◽  
South Wales ◽  
Development Committee

A series of seven films has been produced for the National Aboriginal Employment Development Committee by Film Australia, the production division of the Australian Film Commission. The films are the outcome of eighteen months in the field by Producer Elisabeth Knight and Director K. Gow. They travelled thousands of kilometers with their film crew and visited twenty major locations spanning and circling the continent, from Nhulunbuy in the Northern Territory to Broome in Western Australia, to Port Lincoln in South Australia; from Mackay, Queensland to Brewarrina, New South Wales, to Melbourne.The four We Did It films show Aboriginal people at work, talking about how they got their jobs, what they like about them and some tips for other job seekers. The four films show Aboriginal people from Victoria (12 minutes), South Australia (11 minutes) Western Australia(12 minutes) and Rockhampton and Mackay (11 minutes) in a range of jobs and apprenticeships – nursing, the Public Service, education, horticulture, library work, building and mechanical trades.Women of Utopia (19 minutes) is a first-class introduction by a group of Aboriginal women of Utopia Station in the Northern Territory to the process by which they make their distinctively beautiful batik fabrics.This Is Working (27 minutes) features four different projects being undertaken by Aboriginal people in New South Wales, thereby creating jobs for themselves and developing skills and expertise.

“In the interests of the children”: accounting in the control of Aboriginal family endowment payments

2009 ◽  
Vol 14 (1-2) ◽  
pp. 166-191 ◽  
Author(s):  
Susan Greer
Keyword(s):  
New South ◽  
Single Case ◽  
New South Wales ◽  
Social Engineering ◽  
Competing Interests ◽  
Aboriginal Women ◽  
South Wales ◽  
Australian State ◽  
The Social ◽  
Historical Practices

This article contributes to an expanding literature concerned with the instrumentality of accounting and the consequences of its use within government—Indigenous relations. It examines a single case of how accounting was employed within the Australian state of New South Wales to manipulate the income and spending of Aboriginal women. The article explores how ccounting was integral to the control and administration of the New South Wales Family Endowment Payments; a policy intended to reconstitute Aboriginal women according to particular norms of citizenship. The article not only allows us to better understand the roles of accounting in such historical practices of social engineering, but also illustrates that the objectives for such programmes are not simple and that often they attempt to satisfy the competing interests of the social and the economic.

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