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A seminar on menopausal health was presented to a live audience and remote audiences at 10 sites in rural Queensland (Australia) via videoconferencing. Questionnaires completed by 128 audience members indicated positive reception of the content and delivery method. Similar replies from live and remote audience members indicated that the videoconferencing technology did not undermine learning for remote viewers. (TD)

An Australian distance-learning college course for women uses problem-based learning to refresh their study skills, since many are rural adults that have been away from school for some time. Metacognitive and reflective cycles activate student thinking patterns, and assigned activities complement and reinforce awareness of those skills. (TD)

An Australian study of 40,000 women found that the age at which young women have children is related to broader patterns of social inequality and to the disadvantagement of young rural women. Of particular concern is the increasing polarization between better-educated young women who defer motherhood and less-educated women who have children at a younger age. (TD)

Background Aims Materials and Methods Results Conclusions Obstetric ultrasound is an important tool, aiding in screening, diagnosis, and surveillance throughout pregnancy.To explore obstetric doctors', midwives', and sonographers' experiences and views of obstetric ultrasound in Victoria, Australia. To investigate the increasing role of obstetric ultrasound for clinical management, and the adequacy of resources and training for appropriate use of ultrasound in clinical management.This cross‐sectional study forms part of a multi‐national CROss‐Country Ultrasound Study (CROCUS) exploring the views of consumers and health professionals from high‐, middle‐ and low‐income countries. Qualitative studies conducted in several countries informed the construction of a quantitative survey. These quantitative surveys were distributed to 16 hospitals across regional and metropolitan Victoria, Australia. Descriptive statistics were analysed from the responses.There were 354 questionnaires returned from 106 doctors, 222 midwives, and 26 sonographers. Overall, 72% of respondents held concerns about the potential loss of focus on clinical skills with increasing ultrasound use. Midwives were more concerned about the contribution of ultrasound to medicalisation of pregnancy than were doctors (P < 0.001). Many respondents noted that geographical factors (71%), rather than income levels (53%) influenced access to obstetric ultrasound. Over 90% of doctors and midwives believed additional training for their respective professions in ultrasound would enhance its reach and effectiveness.Our survey findings confirm that clinicians place high levels of trust in the diagnostic findings of obstetric ultrasound antenatal care in Australia. Access to routine ultrasound could be improved for women in rural and lower‐income areas. [ABSTRACT FROM AUTHOR]

Sexual revictimisation has devastating consequences for victim/survivors, yet there is limited research exploring women's experience of revictimisation in regional/rural areas. Using a community‐based participatory research (CBPR) approach, this paper reports on a qualitative study that employed a material feminist lens and Nixon's theory of "slow violence" to explore women's lived experiences of sexual revictimisation. In‐depth interviews were conducted with victim/survivors (N = 11) living in regional and rural areas of Australia. Findings show that the failure of family, community and services to respond appropriately to participant's disclosures of violence and abuse was deeply entangled with rural infrastructure, isolated landscapes, fear of social isolation, victim‐blaming discourses, idealisation of men in the community and limited relationship and sexuality education (RSE) in schools. These components collectively formed a manifestation of "slow violence," which accumulated over the participants' life spans and gradually normalised relational violence. This paper draws attention to a complex interplay of cultural, material and interpersonal elements, including the culture and spaces of rural/regional communities, that establish conditions enhancing the likelihood of women experiencing sexual revictimisation. [ABSTRACT FROM AUTHOR]

Organizations play an essential role in fostering a diverse and inclusive work environment. Despite attempts to encourage gender diversity in the workplace, the construction industry in Australia remains one of the most male-dominated industries. Existing research tends to focus on identifying barriers to gender equality and women's career development, with limited exploration of organizations' current initiative implementation. To fill this research gap, this study aims to examine how organizations implement initiatives affecting gender equality and women's career development in the Australian construction industry. This study applied the women's empowerment framework and conducted a thematic analysis of diversity, inclusion, and equality policies, strategies, action plans, corporate reports, annual reports, and websites within the context of gender equality and women's career development in construction companies. Through a comprehensive analysis, the study identifies prevalent practices and initiatives related to gender equality initiatives in the construction industry, synthesizing them into six themes: flexible working arrangements, inclusive and anti-discriminatory culture, promoting career development, recruitment, and promotion, shared caring responsibility, and strategic commitments. The findings also revealed areas for improvement, giving recommendations on how to further empower women in the construction industry through enhanced gender diversity initiatives. This study sheds light on the current state of gender diversity and inclusion efforts within construction companies and provides practical recommendations for policymakers, industry stakeholders, and organizational leaders who seek to foster more inclusive and equitable work environments. [ABSTRACT FROM AUTHOR]

Cultivating business growth intentions in rural, regional, and remote women entrepreneurs is crucial, considering the unique challenges they face in rural areas. The growth intentions of rural, regional, and remote women entrepreneurs remain understudied. This study pioneers research on the interplay between entrepreneurial leadership competency, identity, and growth intentions of rural, regional, and remote Australian women. We surveyed rural, regional, and remote women entrepreneurs in Queensland, Australia, using structural equation modeling for analysis. Results revealed a positive relationship between entrepreneurial leader identity, business growth intentions, and entrepreneurial leadership competency. Moreover, entrepreneurial leadership competency positively correlated with growth intentions. The study indicated that entrepreneurial leadership competency partially mediates the link between identity and growth intentions. This research addresses a theoretical gap by introducing a new model showcasing the relationships between entrepreneurial leadership identity, entrepreneurial leadership competency, and venture growth intentions. From a practical standpoint, our findings strengthen the business case for improving tailor-made rural, regional, and remote entrepreneurial development programs. [ABSTRACT FROM AUTHOR]

Background: Understanding the dynamics of the podiatry workforce is essential for the sustainability of the profession. This study aimed to describe the podiatry workforce characteristics and identify factors associated with rural practice location. Methods: We used an exploratory descriptive design from data obtained during cross sectional study: Podiatrists in Australia: Investigating Graduate Employment through four online surveys (2017–2020). Demographic and workplace characteristics including career development were described. Univariate logistic regressions were used to determine associations with rural or metropolitan practice location. Results: Data were included from 1, 135 podiatrists (21% of n = 5,429). There were 716 (69% of n = 1,042) females, 724 (65% of n = 1,118) worked in the public health service and 574 (51% of 1,129) were salaried employees. There were 706 (87% of n = 816) podiatrists with access to paid annual leave and 592 (72% of n = 816) to paid sick leave. There were 87 (32% of n = 276) podiatrists who reported 51–75% of workload involved Medicare bulk-billed Chronic Disease Management plans, and 324 (74% of n = 436) not utilising telehealth. The majority of podiatrists (57% of n = 1,048) indicated their average consultation length was 21 -30 min, and patients typically waited < 3 days for an appointment (41% of n = 1,043). Univariate logistic regression identified podiatrists working in metropolitan settings have less years working in current location (OR = 0.98, 95% CI = 0.96, 0.99), less working locations (OR = 0.91, 95% CI = 0.86, 0.97), were less likely to have access to paid annual leave (OR = 0.65, 95% CI = 0.43, 0.98), and paid sick leave (OR = 0.65, 95% CI = 0.46, 0.95), shorter waiting periods for appointments (OR = 0.44, 95% CI 0.30, 0.64) and more likely to utilise telehealth within their practice (OR = 2.03, 95% CI 1.19, 3.50) than those in rural locations. Conclusion: These results provide insight into the profession uncommonly captured in workforce planning data. This included the number of working locations, billing practices and wait lists. This also highlights opportunities to promote rural training pathways, service integration to build attractive podiatry positions that are tailored to meet the needs of rural communities and solutions to make telehealth more accessible to podiatrists. [ABSTRACT FROM AUTHOR]

Background: In 2021, breast cancer was one of the most commonly diagnosed cancer in Australia. While a mastectomy remains a treatment of choice, only a small percentage of women have access to a breast reconstruction after. Women living in a rural area are less likely to have a breast reconstruction; compared to their metropolitan counterparts. This study analyses the impact of single breast reconstruction service on a Modified Monash 3 (MM3) region and informs consumers and providers of the importance of a breast reconstruction unit embedded in a rural health network. [Corrections added on 2 May 2023, after online publication. Expanded reference citations have been deleted from Abstract section.] Methods: Following ethics approval, all 64 patients who had undergone a breast reconstruction with this service between 2017 and 2021 were contacted. Patient reported outcomes were recorded through phone interviews, using a standardized questionnaire. For each patient that presented to the rural centre, cost of travel and productivity loss were also calculated, and compared to the closest metropolitan centre. Result: Ninety‐seven percent of the 38 participants strongly valued having a breast reconstruction service within their community. Eighty percent of participants were satisfied with their result. Patients were estimated to save on average $8478, by attending the rural breast reconstruction service. Conclusion: Access to a breast reconstruction is significantly impacted by geographical barriers. A rural breast reconstruction service can improve patient access and satisfaction, while also reducing the financial burden on patients. [ABSTRACT FROM AUTHOR]

Background and objective Women living in rural Australia have worse survival rates for breast cancer compared with their urban counterparts. Identifying factors that contribute to delayed presentation could help to reduce this disparity. This study aimed to identify and explore the differences in help-seeking behaviours between rural and urban women with non-screen-detected breast cancer. Methods We conducted a qualitative study consisting of semistructured interviews with 20 women from New South Wales with non-screen detected breast cancer that was diagnosed within the past five years. Results There was little difference between rural and urban groups in terms of symptom appraisal and monitoring, social interactions, and personal and environmental factors. However, the presence of stoicism as a barrier was unique to rural women. Rural women also faced significant barriers in accessing general practice services that pertained to availability, cost and distance. Discussion GPs play a critical role in facilitating earlier presentation, and more research into rural stoicism is required. Continued investment in the rural primary care workforce will be key to improving access issues. [ABSTRACT FROM AUTHOR]

Purpose: The importance of events for marginalised groups has largely been overlooked within tourism, hospitality and event studies. The purpose of this study is to address this gap, emphasising the positive outcomes of power relationships rather than the negative, which have traditionally been the focus in event studies. Design/methodology/approach: The study investigated eight events for indigenous and ethnic minority groups, rural women, disabled people and seniors in Australia and New Zealand. Qualitative data was collected via participant observation, reflexive ethnography, semi-structured interviews and in-the-moment conversations. An inductive thematic approach was taken to data analysis. Findings: Eight themes around notions of power and empowerment were identified during the analysis: providing a platform, giving/taking ownership, gaining confidence, empowering with/through knowledge, respect, pride and affirmation, freedom to "be" and resistance. These were then viewed through the lenses of social-structural and psychological empowerment, enabling a deeper understanding of power at/through events. Research limitations/implications: The paper presents a framework for empowerment that enables event organisers to both understand and deliberately plan for the productive use of power, which can reaffirm important event aims, objectives and values. It can also be used by researchers as a framework through which to identify and assess the contributing elements of empowerment at events and by local government to guide policymaking around events. Originality/value: This study is the first to highlight best practices for the positive use of power at events that "empowers" marginalised groups. Grounded in empowerment theory, the study offers a new lens to reframe notions of power and provides a theoretical framework that will be of value for both critical event studies researchers, event organisers and policymakers alike. [ABSTRACT FROM AUTHOR]

This qualitative paper explores rural women entrepreneurs' motives for joining a female-founded, female-only business network. Using a theoretical framework based on the collective identity, territorial capital and gendered networks, we found that rural women's underlying motives to join the network is to harmonise the perceived dichotomy between their roles as women and as entrepreneurs and pave the way for a successful entrepreneurial journey. Their narratives suggest they prefer to connect and learn in business networks that they feel are extensions of who they are; that is where their identities are maintained and produce a sense of belonging. Network members perceive each other as 'like-minded', which suggests interpersonal congruence and behavioural integration, where they expect social interactions to be conflict-free. Therefore, the women perceived the network as supportive and non-competitive, with the main benefits of building their self-confidence while mitigating the social isolation and feelings of loneliness that characterise rural contexts in Australia. The findings contribute to a better understanding of the role of female-founded FOBNs as neo-endogenous agents catalysts for shifting social paradigms and fostering a more diverse, equitable and inclusive rural landscape. • Women entrepreneurs in rural Australia see their roles as women and entrepreneurs as conflicting. • Their narratives suggest a lack of self-confidence, low self-worth, and a desire to relate to like-minded people in a safe environment. • They join female-founded FOBNs to harmonise their conflicting roles and succeed in their entrepreneurial journey. • To achieve this, they need to be empowered, feel that they belong, and feel safe and supported. • FOBNs can support personal growth, legitimise women in entrepreneurship and mitigate social isolation in rural areas. [ABSTRACT FROM AUTHOR]

Background: To examine the dose-response relationship between health related quality of life (HRQoL) and life satisfaction (outcomes) and duration of recreational physical activity (exposure). Further, to explore whether these relationships depend on type of physical activity (PA). Methods: 793 Australian rural-living women self-reported on duration of recreational PA; HRQoL via SF-36 Mental Component Summary (MCS) and Physical Component Summary (PCS); and a life satisfaction scale. ANOVAs and ANCOVAs investigated differences in outcomes (MCS, PCS, and life satisfaction) between tertiles of exposure to recreational PA, and types of PA (club sport, gymnasium, walking), with adjustment for potential confounders. Results: A signiicant positive dose-response relationship was found between PCS and level of PA. Furthermore, this relationship depended on type of PA, with club-sport participants recording higher PCS than non-club-sport participants in all but the highest tertile of exposure. Life satisfaction and MCS were not significantly related to level of PA. Conclusion: Physical health was positively associated with level of recreational PA, with club sport participation contributing greater benefits at low to moderate exposures than participation in gymnasium or walking activities. [ABSTRACT FROM AUTHOR]

Breast cancer is the most commonly diagnosed cancer in Australian women. Providing timely diagnostic assessment services for screen-detected abnormalities is a core quality indicator of the population-based screening program provided by BreastScreen Australia. However, a shortage of local and locum radiologists with availability and appropriate experience in breast work to attend onsite assessment clinics, limits capacity of services to offer assessment appointments to women in some regional centres. In response to identified need, local service staff developed the remote radiology assessment model for service delivery. This study investigated important factors for establishing the model, the challenges and enablers of successful implementation and operation of the model, and factors important in the provision of a model considered safe and acceptable by service providers.Methods: Semi-structured interviews were conducted with service providers at four assessment services, across three jurisdictions in Australia. Service providers involved in implementation and operation of the model at the service and jurisdictional level were invited to participate. A social constructivist approach informed the analysis. Deductive analysis was initially undertaken, using the interview questions as a classifying framework. Subsequently, inductive thematic analysis was employed by the research team. Together, the coding team aggregated the codes into overarching themes.Results: 55 service providers participated in interviews. Consistently reported enablers for the safe implementation and operation of a remote radiology assessment clinic included: clinical governance support; ability to adapt; strong teamwork, trust and communication; and, adequate technical support and equipment. Challenges mostly related to technology and internet (speed/bandwidth), and maintenance of relationships within the group.Conclusions: Understanding the key factors for supporting innovation, and implementing new and safe models of service delivery that incorporate telemedicine, will become increasingly important as technology evolves and becomes more accessible. It is possible to take proposed telemedicine solutions initiated by frontline workers and operationalise them safely and successfully: (i) through strong collaborative relationships that are inclusive of key experts; (ii) with clear guidance from overarching bodies with some flexibility for adapting to local contexts; (iii) through establishment of robust teamwork, trust and communication; and, (iv) with appropriate equipment and technical support. [ABSTRACT FROM AUTHOR]

Women’s experiences of drought are often made invisible particularly in terms of their long-term effects. Drought differs from other “natural disasters” in that droughts are, by definition, experienced over an extended time. This means those experiencing drought do so as they age, with elderly cohorts particularly vulnerable. As such, there is a need to better understand the longitudinal needs and experiences of women living with drought. This study investigates the experiences of drought for 15 Australian women aged over 70, over a period of 12 years. Longitudinal qualitative free-text comments written by the oldest cohort of women in the Australian Longitudinal Study on Women’s Health were subject to a thematic analysis. Findings indicate that experiences of drought have a relationship to women’s ability to age in ways they may have hoped. Themes of Work and Physical activity, Connection to place, and, Service access were prominent in women’s comments. These results demonstrate that place is an important aspect in the experience of ageing, that work and physical activity often intensify during drought for elderly people who might otherwise be expecting to retire, and that drought presents particular challenges for older women in terms of access to services. This study highlights the complex interactions of living and ageing in drought for Australian women. [ABSTRACT FROM AUTHOR]

This article explores Marjorie Caw’s (née Hubbe) transition from her professional work and active citizenship as a young, single, kindergarten teacher in Adelaide to her multi-faceted married life on a farm near Kojonup, Western Australia during the interwar period. Besides engaging fully in domestic work, Caw taught her children at home and maintained her commitments to nation building by leading the Kojonup Country Women’s Association. Issues of gender, class and race relations mediated her domestic work and relationships with her husband and children, successive white maids and the Noongar people on the farm as well as her civic commitments in the interwar years. [ABSTRACT FROM AUTHOR]

This paper discusses the power of local and experiential knowledge, civic engagement and social transformation on rural third age women's learning. My passion for learning reflects the methodological stance of heuristic inquiry, which requires the researcher to have a passionate interest in the phenomena under investigation and in this case, includes my tacit knowledge as a third age learner, a former farming partner and a long term resident of the region. Our two informal conversations about their midlife learning gave the six purposively selected women aged 58-70 the opportunity to reflect on their learning autobiographies as co-researchers. In their midlife, the women had the freedom and determination to change directions and the generative passions to remain useful, to give something back to their communities and to make them a better place for their retirement years and future generations. They emerged from the relative obscurity of the backrooms, kitchens and traditional supportive roles as farmer's wives and mothers to become community activists, leaders and change agents who transformed their small service communities into thriving, vibrant, 'can do' societies better able to cope with the political, social, economic and environmental changes prevailing in regional Australia since the 1990s. They built new networks within the community and with the wider world and used their local knowledge and personal experiences to develop appropriate strategies for community renewal, which exposed them to diverse experiences, new knowledge and different ways of doing things. Unexpectedly they flourished and experienced personal development, growth and a transformation of the self as a blooming and fruition with the maturation of their potential. [ABSTRACT FROM AUTHOR]

For many women living in rural Australia the location of both leisure and work is the family farm, a location that defines their identity as a ‘women of the land’. This paper investigates the impact of geographical location in shaping the leisure activities of rural women living in the Yass Valley Region of Australia. Using an interpretive research perspective and a process of narrative inquiry, data for the study were obtained from women born between 1946 and 1964 through open-ended, in-depth interviews. A thematic analysis of the data revealed that for these women the specific geographical location had a strong impact on the types of leisure activities available in which they were able to participate. The findings from this study suggest that for older women in rural Australia, the specific geographical location can facilitate or inhibit the degree of involvement in community leisure activities that engender social capital among older women living in these locations. [ABSTRACT FROM AUTHOR]

Research on family violence in rural communities in Australia and Canada has shown that women's experience of family violence is shaped by social and cultural factors. Concern for economic security and inheritance for children, closeness and belonging, and values of family unity and traditional gender roles are factors in rural communities that form the social and cultural context in which health and wellbeing are embedded. The findings presented in this paper show that rural women often place their needs second to those of their partners, children and families and, as a result, may minimize their own health concerns, especially in situations that involve family violence. Rural health care workers need to recognize the way social and cultural contexts specifically impact on rural women in order to provide appropriate prevention and treatment programs to address rural women's health issues. [ABSTRACT FROM AUTHOR]

Vaccine uptake in younger Australian women living in rural and regional communities is poorly understood. This research explored factors affecting their decision making in the context of social determinants of health. A mixed methods design applying an explanatory sequential approach commenced with an online questionnaire followed by in-depth interviews with a sample of the same participants. The majority (56%) of participants indicated a positive intention to be vaccinated against COVID-19, but a substantially high proportion (44%) were uncertain or had no intention to be vaccinated. Significant factors affecting vaccine uptake included inadequate and sometimes misleading information leading to poor perceptions of vaccine safety. The personal benefits of vaccination—such as reduced social restrictions and increased mobility—were perceived more positively than health benefits. Additionally, access issues created a structural barrier affecting uptake among those with positive or uncertain vaccination intentions. Understanding factors affecting vaccine uptake allows for more targeted, equitable and effective vaccination campaigns, essential given the importance of widespread COVID-19 vaccination coverage for public health. The population insights emerging from the study hold lessons and relevance for rural and female populations globally. [ABSTRACT FROM AUTHOR]

Rural women-specific service providers in Australia face similar challenges to those faced by rural services everywhere: access, confidentiality, isolation, lack of resources and an expectation that an urban service model will fit the rural context. They face additional challenges because they confront unsettling and contentious issues, such as violence against women and women's rights, often in hostile environments. This paper reports findings from a national study of 74 rural women-specific service providers who were asked to say how services could be strengthened or enhanced. Participating services suggested seven areas of change where they considered services could be improved: recognition of rural disparity; more resources; better networks and linkages; more support for feminist services; increased community education about women's issues; improved transport options; and better support for workers. Their suggestions reveal that they are strongly connected to the local community context, unafraid of taking a political stand and overtly feminist in their approach. This group of service providers is well-informed and can offer valuable insights for policy makers into how best to meet women's needs in non-metropolitan settings. [ABSTRACT FROM AUTHOR]

Recent international accounts of gender and governance have highlighted complexities surrounding the political mobilization of women on the one hand, and the reconfiguration of the state on the other. The trajectories taken by women's movements have intersected and interacted with a rapidly changing political opportunity structure and with increasingly unfavourable shifts in dominant discourses. In the past, Australia has been heralded as a woman-friendly state, complete with femocrats overseeing gendered policy analysis of mainstream programmes as well as a broad range of women's service. Recent discursive shifts, however, combined with the changing architecture of the state and a women's movement largely in abeyance, have resulted in the 'fall of the femocrat' and increasing marginalization of feminist agendas. As observed elsewhere, such shifts position women in ways that only selectively recognize them and their capacities and needs. We extend such critiques by mapping over time the engagement with the state of a particular group of rural women. This case study enables us to identify both the heterogeneity of contemporary governance, and the complex, multi-level responses to farm women's agitation for greater industry recognition. [ABSTRACT FROM AUTHOR]

Hardship experienced today in establishing and maintaining rural viability in the face of difficult climatic and economic conditions in rural and remote areas of Australia suggests that the experiences of graduate rural women might have significant bearing on future directions in that context. The stages of becoming and being graduate rural women in professional practice and in everyday life evidence the research participants'introspective appreciation of the impact and import of their university education in the development and application of their professional skills. Six core concepts emerging from the data contribute to the findings of the study. [ABSTRACT FROM AUTHOR]

Synopsis: This article draws on research undertaken as part of a national study of rural women-specific services across Australia, completed in 2001. A detailed review and analysis of feminist citizenship theories was undertaken as part of the research, and a framework for conceptualising the contribution of rural women-specific services, comprising five components, was developed. The analysis and framework are described here, in the context of what is known about Australian rural women and service provision, and making use of general findings from the study. There are five components in the framework: recognition of women''s diversity; bridging the public-private divide; addressing women''s oppression; acknowledging women''s agency; and facilitating women’s active participation in social, political and community life. The framework is offered as a tool for conceptualising the work of women''s services or projects, as a basis for developing service standards, and to stimulate debate about the usefulness of such an approach. [Copyright &y& Elsevier]

Families in remote mining towns constitute a specific sociological group living under unique geographical and sociocultural circumstances. Isolation from friends and relatives and limited resources and opportunities for family members of mine workers are some of the distinct disadvantages of these towns. Decades ago it was observed that a large number of women in new and remote mining towns suffered from neurotic problems. In contemporary times there is a deficit of knowledge about the mental health of women in remote mining towns. However, there are certain indicators of significant mental distress among women living in these particular environments. Deriving from a review of literature, this paper explores various mining work-related issues and sociocultural settings and processes within remote mining towns that could possibly exert coercive pressures on the psychological health of female partners of mine workers and their relationship well-being. The paper suggests that work schedules and preponderance of men in mining jobs help promote a patriarchal culture within the community and the family; thereby marginalising women to a secondary status. Limited opportunities and resources within the community isolate women to domestic lives; while atypical work rosters associated with mining employment could negatively impact on the relationship well-being of couples. The paper recommends that an inquiry into psychiatric well-being among women of remote mining communities needs to consider the sociocultural structure and processes within these communities, and the structural nature of the mining job that could be responsible for role strain-induced stress and mental health problems among these women. [ABSTRACT FROM AUTHOR]

Background: At least one-third of primary breast cancers in Australia are discovered by population-based mammographic screening. The aim of this study was to determine whether there were any differences in the surgical treatment of women diagnosed with breast cancer by BreastScreen Victoria between urban and rural populations and to investigate temporal changes in their pattern of care. Methods: An analysis of women diagnosed with breast cancer (invasive and non-invasive) by BreastScreen Victoria from 1993 to 2000 was conducted. Descriptive analyses of the proportion of women undergoing each surgical treatment type over time were carried out. Logistic regression was used to assess the effect of urban–rural residence on each treatment outcome while accounting for possible confounding factors. Results: Rural women with invasive breast cancer were less likely to undergo breast-conserving surgery (BCS) compared with urban women (odds ratio, 0.42; 95% confidence interval, 0.35–0.50). The same was also true for rural women with ductal carcinoma in situ (odds ratio, 0.53; 95% confidence interval, 0.29–0.96). This difference was independent of patient and tumour characteristics, including tumour size, surgeon caseload, patient’s age and socioeconomic status. It also persisted over time despite a steady overall increase in use of BCS for both invasive and non-invasive cancers over the study period. Conclusions: Among Victorian women with screen-detected breast cancer, urban women consistently had higher rates of BCS compared with rural women despite increased overall adoption of BCS. Reasons for this disparity are still unclear and warrant further investigation. [ABSTRACT FROM AUTHOR]

This article focuses on gender mainstreaming in practice using the example of agriculture departments in Australia. Gender mainstreaming is a policy initiative adopted internationally following the Beijing women's conference in 1995 to address gender inequality. The move represents a policy shift from a focus solely addressing women's disadvantage to a broader attention to gender inequality. This article provides an historical overview of the move toward gender mainstreaming in the international environment, as well as a theoretical critique. Using the Australian case example, the shift of attention from rural women to gender mainstreaming in Australian agricultural departments appears to be taking place with little understanding of the concept of gender mainstreaming or its goals. It is further argued that recent moves by government departments of agriculture toward gender mainstreaming may have disadvantaged women. This article argues that, while in theory mainstreaming is a more successful way of addressing gender inequality, in practice it risks reducing attention to women unless changes occur in departmental cultures and gender mainstreaming accountability measures are introduced at international and national levels. [ABSTRACT FROM AUTHOR]

Background: Public health advocacy effects changes in health behaviors and outcomes through applying health promotion expertise to specific groups. Advocacy occurs through the provision of tools to empower those who are either experiencing, or at risk of, a particular health status. Research objectives: Health care experiences of women living in rural Victoria, Australia, were explored in the context of generally poor access to reproductive health services. Women's experiences are investigated within the theoretical framework of lay-health advocacy, i.e., relying on individual health care experience and knowledge to promote and improve the health care of others. Methodology: The study applied a qualitative design, and a self-identified sample of women was recruited through network sampling techniques. Fifty-seven women participated in in-depth interviews. Results: Three types of lay-health advocacy emerged. Advocacy-seekers expected the researchers to use their experiences of poor health care to educate health professionals to provide better quality care. Advocacy-providers used their knowledge and experiences to take an active part in promoting the health care of other women. Story-tellers expected their narratives to empower other women or unidentified social groups to feel less isolated in their health care experiences. Discussion: In providing narratives of their health care, women were critical of social inequalities facing people living in rural Australia. Lay-health advocates offer a cost-effective and appropriate option for reducing adverse health outcomes within resource-poor settings. Informed by women's narratives, we suggest strategies to enhance rural women's health care. [ABSTRACT FROM AUTHOR]

The paper discusses the partnership forged between Women on Farms Gathering and the Museum Victoria in Australia. The intent of their participatory-action research project is to challenge the mainstream discourse of Australian rural life and women through collecting oral histories and other memorabilia representing women farmers. The author discusses the role of museums in shaping cultural history and the empowering effects of reclaiming personal histories. The museum collection also serves to bring issues of rurality back into public discourse.

This paper reports on an exploratory study of the use of new technologies by the rural women's group Australian Women in Agriculture (AWiA). Data from interviews with twenty members of AWiA and an analysis of organizational documents, including a number of messages posted on the group's discussion list, are used to examine the extent to which cyberspace offers a new space for political engagement for women's activism. The experiences of AWiA members offer some cause for optimism. Geographically dispersed and excluded from male-dominated public agricultural arenas, the women of AWiA have constructed a technosocial landscape that facilitates the active dissemination of information, which has been used to advance a political agenda for farming women. However, there is evidence that less powerful actors within the network whose preference was for more social discussion on the list have been marginalized in the process. For these women, space for political engagement online has been limited on the AWiA discussion list. In conclusion, the paper draws attention to the new research questions that have emerged from this study. [ABSTRACT FROM AUTHOR]

The purpose of the current study was to assess the practical and psychosocial needs of rural women with early breast cancer in Australia and recommend strategies to ensure equity in availability and access to cancer treatment for all women. A random sample of 204 rural women diagnosed with early breast cancer was recruited to participate in a telephone survey via state and territory cancer registries. Although the majority of women were satisfied with their provision of information overall, less than a third of participants were provided with specific information on assistance for rural women. Findings also revealed that only 47% of the women who had to travel for treatment received finan- cial assistance, and 13% of these women had difficulty organizing or claiming financial assistance. Furthermore, only 10% of women found so- cial workers to be a source of support. [ABSTRACT FROM AUTHOR]