ObjectiveTo examine the socio-economic and ethnocultural characteristics of geographical areas that may influence variation in breast cancer screening participation.MethodsIn a cross-sectional analysis breast cancer screening participation for statistical areas in Victoria, Australia (2015-2017) was linked with data from the 2016 Australian Census. We selected four commonly used area-level measures of socio-economic status from the Australian Census (i) income (ii) educational level (iii) occupational status and (iv) employment profile. To assess the ethnocultural characteristics of statistical areas we used the Census measures (i) country of birth (ii) language spoken at home (iii) fluency in English (iv) religion and (v) the proportion of immigrants in an area, together with their recency of migration.ResultsAll the selected measures were related to screening participation. There was a high degree of association both within and between socio-economic and ethnocultural characteristics of areas as they relate to screening. Ethnocultural characteristics alone accounted for most of the explained geographical disparity in screening participation.ConclusionsGeographical disparities in breast cancer screening participation may be due to ethnocultural factors that are confounded with socio-economic factors.

Humans have been living on the continent of Australia (name derived from "Terra Australis"; Latin for "the southern land") for approximately 65,000 years, however population growth was relatively slow until the nineteenth century. Europeans had made some contact with Australia as early as 1606, however there was no significant attempt at settlement until the late eighteenth century. By 1800, the population of Australia was approximately 350,000 people, and the majority of these were Indigenous Australians. As colonization progressed the number of ethnic Europeans increased while the Australian Aboriginal population was decimated through conflict, smallpox and other diseases, with some communities being exterminated completely, such as Aboriginal Tasmanians. Mass migration from Britain and China After the loss of its American colonies in the 1780s, the British Empire looked to other parts of the globe to expand its sphere of influence. In Australia, the first colonies were established in Sydney, Tasmania and Western Australia. Many of these were penal colonies which became home to approximately 164,000 British and Irish convicts who were transported to Australia between 1788 and 1868. As the decades progressed, expansion into the interior intensified, and the entire country was claimed by Britain in 1826. Inland colonization led to further conflict between European settlers and indigenous Australians, which cost the lives of thousands of natives. Inward expansion also saw the discovery of many natural resources, and most notably led to the gold rushes of the 1850s, which attracted substantial numbers of Chinese migrants to Australia. This mass migration from non-European countries eventually led to some restrictive policies being introduced, culminating with the White Australia Policy of 1901, which cemented ethnic-European dominance in Australian politics and society. These policies were not retracted until the second half of the 1900s. Independent Australia Australia changed its status to a British dominion in 1901, and eventually became independent in 1931. Despite this, Australia has remained a part of the British Commonwealth, and Australian forces (ANZAC) fought with the British and their Allies in both World Wars, and were instrumental in campaigns such as Gallipoli in WWI, and the South West Pacific Theater in WWII. The aftermath of both wars had a significant impact on the Australian population, with approximately 90 thousand deaths in both world wars combined, as well as 15 thousand deaths as a result of the Spanish flu pandemic following WWI, although Australia experienced a significant baby boom following the Second World War. In the past fifty years, Australia has promoted immigration from all over the world, and now has one of the strongest economies and highest living standards in the world, with a population that has grown to over 25 million people in 2020.

The Migration Collection consists of over 5,500 items which provide an overview of the many and diverse people who have migrated to Victoria since the 1830s, their motivations for coming, the material they brought with them, items accumulated on the journey, and the objects they made and acquired after settling here. The Numismatics, Transport and Cultural Diversity collections also contain objects which have direct relevance to the Migration Collection.