1971, English, Article
LUNG CANCER AMONG THE JEWS AND NON-JEWS OF PITTS BURGH, PENNSYLVANIA, 1953-1967: II. MEDICAL CARE INITIATION AND DIAGNOSTIC PROCEDURES
HERMAN, BERTRAM; RAO, MAMIDANNA S.
Herman, B. (Netherlands Institute for Preventive Medicine, T. N. O., Wassen-aarseweg 56, Postbox 124, Leiden, Netherlands) and M. S. Rao. Lung Cancer among the Jews and non-Jews of Pittsburgh, Pennsylvania, 1953–1967: II. Medical care initiation and diagnostic procedures. Amer J Epidem 94: 11–15, 1971.—In attempting to explain religious variation in lung cancer mortality among females of the City of Pittsburgh from 1953–1967, medical care differences by religion were studied. Information from death certificates, medical records (i.e., clinic, hospital and pathological) and cancer registry abstracts was used to answer questions relevant to these considerations. Among females, Jews apparently had more intensive and more thorough diagnostic observation for lung cancer than did non-Jews; males, however, did not differ in lung cancer diagnostic procedures regardless of religion. Thus, a strong possibility exists, among females, that, because of the differences by religion in diagnostic handling, the amount of underreporting of lung cancer on death certificates might have also differed between Jews and non-Jews. The speed with which cases sought medical care in response to symptoms did not appear to affect the mortality rate patterns under investigation. Furthermore, the possibility still remains that differences by religion in frequency of metastatic lesions of the lung can explain, in part, the difference in lung cancer mortality rate among females.
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