Journal of Community Health

, Volume 35, Issue 4, pp 433–452

In the Shadow of Academic Medical Centers: A Systematic Review of Urban Health Research in Baltimore City

  • Nadra C. Tyus
  • M. Christopher Gibbons
  • Karen A. Robinson
  • Claire Twose
  • Bernard Guyer
Original Paper

DOI: 10.1007/s10900-010-9258-1

Cite this article as:
Tyus, N.C., Gibbons, M.C., Robinson, K.A. et al. J Community Health (2010) 35: 433. doi:10.1007/s10900-010-9258-1


The city of Baltimore is a typical, large, urban center in the United States with several major academic medical institutions surrounded by disadvantaged neighborhoods with multiple poor health indices. In order to understand the extent to which academic research agendas reflect the health concerns of Baltimore’s local population, a systematic review was conducted to identify research about four key, health-related topic areas. We classified papers on: disease prevalence and health status, utilization of health services, population-based interventions, and the unmet health needs of Baltimore City residents. Approximately 4,150 citations were identified in the search and two levels of screening yielded a total of 288 papers. The majority of articles (n = 189) examined prevalence of health conditions such as Human Immunodeficiency Virus (HIV), mental health and mental disorders, and sexually transmitted diseases. Papers about specific target populations focused primarily on adults, African Americans, and females. Despite a significant body of research concerning several health conditions and priority populations, significant gaps in knowledge about health services utilization, community interventions, unmet health needs, and the prevalence of specific health issues remain. This review provides valuable insight into the extent of health research conducted about the city of Baltimore and whether community health priorities have been investigated. It provides a basis for examining the potential directions of academic research centers to effectively identify and address collective, urban health priorities of the communities in which they reside.


Baltimore Systematic review Urban health Population health 

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Nadra C. Tyus
    • 1
  • M. Christopher Gibbons
    • 2
  • Karen A. Robinson
    • 3
  • Claire Twose
    • 4
  • Bernard Guyer
    • 5
  1. 1.Department of Population, Family, and Reproductive HealthJohns Hopkins Urban Health Institute, Johns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  2. 2.Johns Hopkins Urban Health Institute, Johns Hopkins Bloomberg School of Public Health and School of MedicineBaltimoreUSA
  3. 3.Divisions of General Internal Medicine and Health Sciences Informatics, Department of MedicineJohns Hopkins University School of MedicineBaltimoreUSA
  4. 4.Public Health and Basic Science Informationist Services, Welch Medical LibraryJohns Hopkins University School of MedicineBaltimoreUSA
  5. 5.Department of Population, Family, and Reproductive Health, Zanyvl Krieger Professor of Children’s HealthJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA

Personalised recommendations