Published Research
Published research addressing health and health conditions in Baltimore by researchers at the Johns Hopkins Bloomberg School of Public Health is indexed below.
Public Health Detailing to Increase Routine HIV Screening in Baltimore, Maryland: Satisfaction, Feasibility, and Effectiveness
This study looked at the acceptability and usefulness of a detailing project to increase HIV screening in Baltimore, given high HIV transmission rates.
Topic: HIV
Improving Follow-up and Reducing Barriers for Eye Screenings in Communities: The SToP Glaucoma Study
This study focused on African Americans at or over 50 years of age, and looked at eye check-ups for glaucoma, cataracts, refractive error and other conditions, to better understand characteristics aiding follow-up visits.
Topic: Eye check-up; African-American
A mixed methods assessment of the barriers and readiness for meeting the SNAP depth of stock requirements in Baltimore’s small food stores
This mixed methods study done in 17 corner stores within low-income food desert areas of Baltimore examined the Supplemental Nutrition Assistance Program (SNAP) requirement about the variety of food items that need to be stocked. It studied store owner awareness, perceived challenges, and suggested solutions. The study found that 14 out of 17 store-owners were unaware of the proposed changes and only 2 out of 17 met proposed variety of stock. Lack of customer demand for ‘healthier’ foods and concern about spoilage of left-over food were among the challenges expressed.
Topic: SNAP; Food; Corner-store
Novel Methods for Environmental Assessment of Pedestrian Injury: Creation and Validation of the Inventory for Pedestrian Safety Infrastructure
Towards identifying street-level prevention strategies for pedestrian injuries in urban Baltimore, an Inventory for Pedestrian Safety Infrastructure (IPSI) was developed and studied.
Topic: Pedestrian; Road Safety
Factors Associated with Home Meal Preparation and Fast-Food Sources Use among Low-Income Urban African American Adults
This study assessed factors associated with home meal preparation and fast food sources use among low-income African-American adults in Baltimore, including healthy food beliefs, food-related psychosocial factors, food acquisition patterns, and BMI.
Topic: African-American; cooking; food deserts
The effect of community socioeconomic status on sepsis-attributable mortality
This study from Baltimore looked at socioeconomic status and mortality from sepsis.
Topic: Socioeconomic status; Mortality; Sepsis
How the science of injury prevention contributes to advancing home fire safety in the USA: successes and opportunities
This paper looks at various successful interventions for preventing house fires. It also addresses the need to overcome disparities in implementing fire safety in homes.
Topic: Fire Safety
Enhanced Tobacco Control Initiative at Johns Hopkins Health System: Employee Fairness Perception
This study done at the Johns Hopkins Health System looked at the ‘fairness’ logistics of an optional self-testing model for tobacco use as a qualifier for enhanced smoking cessation benefits and an employee health insurance discount for non-smokers.
Topic: Tobacco Cessation; Employee
Protocol: mixed-methods study to evaluate implementation, enforcement, and outcomes of U.S. state laws intended to curb high-risk opioid prescribing
This paper looks at various opioid prescription related laws from U.S. states.
Topic: Opioids
Temperament Moderators of Prospective Associations Between Community Violence Exposure and Urban African American Adolescents' Aggressive Behavior
This study looks at the relationship between exposure to community violence and aggressive behavior in African-American children in grades 9 and 10 in Baltimore.
Topic: Community Violence; African-American
Acceptability and feasibility of a Peer Mentor program to train young Black men who have sex with men to promote HIV and STI home-testing to their social network members
This study from Baltimore looked at the acceptability and feasibility of a peer-mentorship program in raising awareness and use of home-based testing for HIV and other sexually transmitted infections (STIs) among African-American men who had sex with men.
Topic: HIV; African-American
Pharmacy-level Barriers to Implementing Expedited Partner Therapy in Baltimore, Maryland
There are systemic challenges from the pharmacy side, such as limited availability and limited pharmacist awareness, in implementing Chlamydia trachomatis expedited partner therapy. The study looked at such challenges in Baltimore regions with high rates of the disease.
Topic: Chlamydia; Partner Therapy; Pharmacy
HIV seroconversion among Baltimore City residents tested at a mobile van programme
This study from Baltimore looked at HIV seroconversion rates among participants of a mobile van testing program. It also identified some high-risk attributes.
Topic: HIV; Seroconversion
Increases in the Rate of Neisseria gonorrhoeae Among Gay, Bisexual and Other Men Who Have Sex With Men-Findings From the Sexually Transmitted Disease Surveillance Network 2010-2015
Towards better understanding the epidemiology of gonorrhea, gonorrhea rates among MSM were studied in Baltimore and some other cities in the US.
Topic: Gonorrhea; Men Who Have Sex With Men (MSM)
Increasing Patient Portal Usage: Preliminary Outcomes From the MyChart Genius Project
This study looks at use of dedicated staff (MyChart Geniuses) to increase adolescent and young adult uptake of the MyChart patient portal among patients attending an urban clinic in Baltimore. This online and downloadable application is used for patient-provider health communication.
Topic: Adolescents; Patient Portal
Text Messaging Support for Urban Adolescents and Young Adults Using Injectable Contraception: Outcomes of the DepoText Pilot Trial
This study looked at the use of text messaging reminders to increase attendance at clinic follow-up visits among adolescents using Depo-Provera. The text method was feasible, highly acceptable, and showed good preliminary effectiveness for enhancing clinic attendance among the study population.
Topic: Adolescents; Text Message; Contraception
Understanding Adolescent Nonresponsiveness to Text Messages: Lessons from the DepoText Trial
This study looked at the reasons why adolescents enrolled in a Depo-Provera text message reminder study intervention do not respond to all text messages. The most common reason cited was being away from their mobile phone (e.g. in class or at work), followed by loss of mobile phone service due to unpaid bills.
Topic: Adolescents; Text Messages; Contraception
Why Didn’t You Text Me? Poststudy Trends From the DepoText Trial
This study from Baltimore looked at sustained effects from exposure to a text messaging reminder intervention for adolescents and young adult women after the program's end. Participants in the intervention arm were significantly more likely to still be using DepoProvera or a more effective contraceptive method than control group participants at longitudinal follow-up.
Topic: Adolescents; Contraception; Text Messaging
Recruitment of Minority Adolescents and Young Adults into Randomised Clinical Trials: Testing the Design of the Technology Enhanced Community Health Nursing (TECH-N) Pelvic Inflammatory Disease Trial
Urban young women 13-25 years in urban Baltimore diagnosed with pelvic inflammatory disease (PID; a complicated sexually transmitted infection) participated in a trial to determine if a combination of community health nursing with text messaging support improves self-care. Preliminary data demonstrated community-based delivery of sexual health services is safe and acceptable to patients and families in this community.
Topic: Adolescents; Pelvic Inflammatory Disease, Community Health Nursing, Text Messaging
Care-seeking Behavior after Notification among Young Women with Recurrent Sexually Transmitted Infections after Pelvic Inflammatory Disease
This analysis evaluated care-seeking behavior of young women from Baltimore with a history of pelvic inflammatory disease enrolled in a trial of a community-based nursing intervention with text-messaging support. While all patients were successfully notified of their test results and offered free treatment in a local health clinic, many patients with positive STI results did not seek care after notification, leaving them vulnerable to the complications of untreated STIs.
Topic: Adolescents; Recurrent Sexually Transmitted Infections (STIs), Treatment Adherence
Incidence of Discontinuation of Long-Acting Reversible Contraception among Adolescent and Young Adult Women Served by an Urban Primary Care Clinic
This study examined clinical data from young women enrolled in the long-acting reversible contraceptive (LARC) program within an urban adolescent /young adult clinic to determine frequency of and reasons for LARC discontinuation. Most retained the LARC method (contraceptive implant or intrauterine device) with 1/5 discontinued. Primary reasons for discontinuation of the implant and intrauterine device were bleeding and expulsion, respectively.
Topic: Adolescents; Contraception; LARC
The Society for Vascular Surgery Wound, Ischemia, and foot Infection (WIfI) classification system predicts wound healing but not major amputation in patients with diabetic foot ulcers treated in a multidisciplinary setting
This study from Johns Hopkins hospital’s Multidisciplinary Diabetic Foot & Wound Clinic looked at amputations in diabetic patients based on various stages of wounds.
Topic: diabetic foot; amputation
Facilitators and Barriers to Implementing Church-Based Adolescent Sexual Health Programs in Baltimore City
This study asked faith leaders as well as youth and adult congregants what was important to consider when offering sexual health programs in churches for adolescents.
Topic: adolescence; sexual behavior
Social network perspective on alcohol consumption among African American women: a longitudinal analysis
The role of social networks among African-Americans in their consumption of alcohol was studied in Baltimore, with hopes of using such networks to address consumption.
Topic: alcohol; African-American
Effect of alcohol consumption on all-cause and liver-related mortality among HIV-infected individuals
This study from Baltimore looked at alcohol use and mortality among HIV patients.
Topic: alcohol; HIV
Age of first drunkenness and risks for all-cause mortality: A 27-year follow-up from the epidemiologic catchment area study
This study from four US cities including Baltimore, found that if the age of first drunkenness is early, there are increased chances of death.
Topic: alcoholism; adolescence
Intersections between polyvictimisation and mental health among adolescents in five urban disadvantaged settings: the role of gender
This study done in multiple urban locations including Baltimore looked at gender differences in the relationship between violence and mental health.
Topic: violence; mental health
Sociodemographic and access-related correlates of health-care utilization among African American injection drug users: The BESURE study
This study found that insurance status, past incarceration, and financial stability influenced health care utilization among African-American injection drug users in Baltimore.
Topic: injection drug use; African-American
Understanding Hearing Loss and Barriers to Hearing Health Care Among Korean American Older Adults
This study looked at how hearing loss impacted older Korean Americans in Maryland. It looked at impact, patient perceptions, coping mechanisms and barriers to adequate care.
Topic: hearing loss; Korean Americans
Hearing care intervention for persons with dementia: A pilot study
The Memory-HEARS intervention was implemented in an out-patient setting of a Baltimore hospital, and aimed to improve patient quality of life by reducing behavioral disturbances in patients with dementia who may have hearing loss.
Topic: hearing loss; dementia
Does Race/Ethnicity or Socioeconomic Status Influence Patient Satisfaction in Pediatric Surgical Care?
This study done at children’s clinics at a Baltimore hospital examined whether race/ethnicity or socio-economic status affected patient satisfaction. The study did not find disparities in patient satisfaction.
Topic: patient satisfaction; race
Evaluation of a strategy for enrolling the families of critically ill patients in research using limited human resources
This study conducted in a Baltimore city hospital explored the logistics of enrolling the families of critically ill patients in a clinical research study. Patients who were white, lived in a high-income zip code, were on life support, or who died were more likely to have a family member at their bedside available for recruitment. Day of the week and time of day were not associated with whether a family member was present in the hospital.
Topic: ICU; caregiver; family; patient advocacy; clinical research
Tailored, Interactive Text Messages for Enhancing Weight Loss Among African American Adults: The TRIMM Randomized Controlled Trial
Participants from African-American churches in Baltimore were recruited for a controlled trial to promote weight loss among obese adults by sending individualized text messages which educated and encouraged changes in their diet and physical activity. This intervention was more successful than standard care.
Topic: African-American; obesity
Implementing Trauma-Informed Partner Violence Assessment in Family Planning Clinics
This study was done in family planning clinics in Baltimore to understand how trauma-informed care, intimate partner violence assessment and universal education on violence can help women at risk for abuse.
Topic: intimate partner violence; trauma-informed care
Have You Talked about It: Advance Care Planning among African Americans Living with HIV in Baltimore
The AFFIRM study looked at advance care planning experiences among HIV-positive African Americans living in Baltimore.
Topic: HIV; African Americans
'Yeah, I've grown; I can't go out anymore': differences in perceived risks between girls and boys entering adolescence
The Global Early Adolescent Study, of which Baltimore was one of the urban sites, found exaggerated gender differences in independence between males and females as they underwent adolescent biological changes.
Topic: Adolescence; Gender Differences
Motivators, Barriers, and Facilitators to Weight Loss and Behavior Change Among African American Adults in Baltimore City: A Qualitative Analysis
Researchers conducted focus groups among African American adults in Baltimore who were obese to assess various challenges towards long-term weight loss.
Topic: African-American; Obesity
Social Desirability Bias and Prevalence of Sexual HIV Risk Behaviors Among People Who Use Drugs in Baltimore, Maryland: Implications for Identifying Individuals Prone to Underreporting Sexual Risk Behaviors
In this study of individuals in Baltimore with HIV and who use drugs, a higher desirability bias was related to under-reporting of high-risk sexual behaviors.
Topic: Sexual Behavior
The Impact of Preexposure Prophylaxis Among Men Who Have Sex With Men: An Individual-Based Model
Wider coverage of PrEP among men who have sex with men, along with individual-level adherence to treatment, was noted to have a high population-level impact on new HIV transmissions.
Topic: PrEP; Men Who Have Sex with Men (MSM)
Predictors of HIV-related risk perception and PrEP acceptability among young adult female family planning patients
Female patients of family planning clinics in Baltimore were asked about HIV PrEP knowledge and acceptability to inform woman-controlled HIV prevention methods in this high prevalence setting.
Topic: PrEP; Family Planning; Disparites; Sex Work
Loss of Peripheral Sensory Function Explains Much of the Increase in Postural Sway in Healthy Older Adults
A sample from Baltimore's Longitudinal Study of Aging was studied to understand postural sway and issues with balance upon standing among elderly adults that are otherwise healthy. Decreased sensory function with aging at the legs or in the inner ear was found to contribute to this.
Topic: Balance; Elderly
Predictors of polycyclic aromatic hydrocarbon exposure and internal dose in inner city Baltimore children
Polycyclic aromatic hydrocarbons (PAHs) can trigger asthma attacks in children. Urinary 1-hydroxypyrene-glucuronide (1-OHPG) was used measure the corresponding internal dose of exposure from smoking or organic matter combustion.
Topic: Asthma; Urban Children
The Association of Vitamin D Deficiency and Incident Frailty in Older Women: The Role of Cardiometabolic Diseases
The relationship between lack of Vitamin D and frailty was studied among Women’s Health and Aging Study II participants in Baltimore. The study found that low blood vitamin D is associated with increased incidence of frailty. In older women with diabetes, high blood pressure, cardiovascular disease, and/or abnormal lipid levels, the study found a weaker association between low vitamin D and the development of frailty.
Topic: Frailty; Vitamin D; Cardiometabolic Diseases
Investigating the Occupational Challenges of Corner Store Workers Operating in Baltimore City Food Deserts
The study done in Baltimore city looked at challenges faced by workers in small retail outlets in this urban area.
Topic: Food
Psychosocial Characteristics and Sexual Risk Behaviors among Female Exotic Dancers Who Have Sex with Women in Baltimore: A Brief Report
Female dancers from Baltimore exotic dance clubs were recruited for this study. The underlying vulnerabilities of those who have sex with women were studied to understand how they differ from those who have sex with men only.
Topic: Sexual Behavior
Structural risk and limits on agency among exotic dancers: HIV risk practices in the exotic dance club
This study looked at HIV risk factors based on built environment and club policies at Baltimore’s exotic dance clubs.
Topic: HIV
The Development of an HIV Risk Environment Scale of Exotic Dance Clubs
A risk environment score was studied among exotic dancers in Baltimore to understand HIV risk.
Topic: HIV
Challenges and Opportunities to Engaging Emergency Medical Service Providers in Substance Use Research: A Qualitative Study
This study done among Baltimore City Fire Department staff looked at how they can engage in substance use prevention by giving drug users motivational messages to get treatment.
Topic: EMS; Drug Users
Compensatory Saccades Are Associated With Physical Performance in Older Adults: Data From the Baltimore Longitudinal Study of Aging
This study of Baltimore Longitudinal Study of Aging data looked at whether a certain test can be used as a measure of vestibular loss in older adults.
Topic: Aging
“Creative maladjustment” in the West Baltimore uprising
The author focuses on the West Baltimore uprising following the death of Freddie Gray, using psychoanalytic theory to understand a non-pathological depiction of the uprising towards advancing racial justice.
Topic: Race
The multifunctionality of urban farming: perceived benefits for neighbourhood improvement
This qualitative case study done in urban Baltimore studied the less understood values of urban farming. Results showed multiple benefits to the neighborhood, including access to fresh local food and local employment opportunities.
Topic: Urban Farming; Neighborhood
Gathering Baltimore's bounty: Characterizing behaviors, motivations, and barriers of foragers in an urban ecosystem
This study surveyed those who forage (plant or fungal matter) for food or medicine in Baltimore city or Baltimore county. It found that there is an active urban foraging community in Baltimore, which may have policy implications for developing urban ecosystems.
Topic: Urban Ecosystem; Foraging
B'More Fit for Healthy Babies: Using Trauma-Informed Care Policies to Improve Maternal Health in Baltimore City
The study looked at societal, environmental and policy issues and gender inequalities (women bearing the brunt of child rearing) that affect weight loss among women in Baltimore city. The study helped influence local policy in developing initiatives based on an understanding of how trauma influences women’s behaviors, as part of a wider program for healthy babies.
Topic: Gender-based Violence; Maternal Health
The feasibility of an air purifier and secondhand smoke education intervention in homes of inner city pregnant women and infants living with a smoker
This single arm clinical trial was done in homes of women who were pregnant or had an infant and who lived with at least one smoker in the household, to understand the effectiveness of a second-hand smoking education-air purifier combination. The results showed this to be a feasible intervention based on participant interest.
Topic: Second-hand Smoking; Pregnancy; Infant
Unique pulmonary immunotoxicological effects of urban PM are not recapitulated solely by carbon black, diesel exhaust or coal fly ash
The study determined that carbon black, diesel exhaust particle or coal fly ash cannot be used as surrogate markers for particulate matter (PM). However, the actual particulate matter reaction differed between PM from 2 big cities, New York and Baltimore, with that from Baltimore eliciting a stronger immune reaction.
Topic: Particulate Matter; Urban Environment
Neighborhood and Parental Influences on Diet and Physical Activity Behaviors in Young Low-Income Pediatric Patients
This study looked at diet and physical activity behaviors influenced by primary caregivers of African-American and Hispanic children 2 to 5 year-olds in low-income neighborhoods in Baltimore, MD.
Topic: Physical Activity; Neighborhood; Children
Predictors of buprenorphine treatment success of opioid dependence in two Baltimore City grassroots recovery programs
The study looked at opioid-dependence treatment success based on sociodemographic variables. Those with unstable housing were found to have less chances of success than those with independent housing, even after controlling for sociodemographic factors such as race/ethnicity, gender, and age.
Topic: Opioid-dependence Treatment; Buprenorphine
The relationship between social desirability bias and self-reports of health, substance use, and social network factors among urban substance users in Baltimore, Maryland
Among opiate and cocaine users, there is under-reporting of socially undesirable attributes if the study methodology uses self-reporting. This study highlights the need for alternate methodologies for such studies.
Topic: Substance Abuse; Report
Low-Income Urban Mothers' Experiences with the Supplemental Nutrition Assistance Program
The study looked at Baltimore mothers' experiences using the Supplemental Nutrition Assistance Program (SNAP) program, in particular the challenges faced in applying for and maintaining benefits through the program.
Topic: SNAP
Factors Associated With Missed Appointments at an Academic Pain Treatment Center: A Prospective Year-Long Longitudinal Study
This longitudinal study looked at factors leading to ‘no-shows’ in an inner-city pain clinic in Baltimore. Higher rates were seen among young, single, minority, Medicare/ Medicaid recipients. Higher no-show rates were also found among those with previous pain provider(s), low back-pain or headache as primary diagnosis, or during a day of rain or snow.
Topic: Pain
HIV-Related Stigma Among Spanish-speaking Latinos in an Emerging Immigrant Receiving City
This study was done in Baltimore city to study reluctance among Latinos to undergo HIV testing due fear of stigma if they are found positive. It found that men were more likely to hold multiple beliefs of stigma and were more hesitant to undergo testing.
Topic: HIV; Latino
A brief intervention for preparing ICU families to be proxies: A phase I study
This study from Baltimore, MD, looked at an intervention for preparing families to make difficult decisions for critically ill, hospitalized family members and friends.
Topic: Family; Proxy; Legal; Advocacy; Shared Decision-making; Patient Rights
Reproductive coercion among women living with HIV: an unexplored risk factor for negative sexual and mental health outcomes
A self-reported survey from Baltimorean women living with HIV look at reproductive coercion that may lead to unintended pregnancies, as the pregnancy can be high-risk for mother and baby.
Topic: HIV; Pregnancy
High hepatitis C cure rates among black and nonblack human immunodeficiency virus-infected adults in an urban center
This study looked at treatment of hepatitis C in those already infected with HIV among black and non-black patients in Baltimore. The treatment response did not differ by race, mental health or drug use history.
Topic: HIV; Hep C
The Baltimore HEARS Pilot Study: An Affordable, Accessible, Community-Delivered Hearing Care Intervention
This study from Baltimore looked at the development and initial testing of a hearing care program, the Hearing Equality through Accessible Research & Solutions (HEARS) intervention, to reduce disparities in hearing care among older adults.
Topic: Hearing Loss; Older Adults
Exploration of Gender Norms and Socialization Among Early Adolescents: The Use of Qualitative Methods for the Global Early Adolescent Study
The Global Early Adolescent Study (GEAS) was a multicentric study done in different countries, with one of the sites being Baltimore. It looked at methods used to understand sexuality in early adolescents across different sites.
Topic: Adolescence; Sexuality
Marching to a Different Drummer: A Cross-Cultural Comparison of Young Adolescents Who Challenge Gender Norms
In the multi-city, multi-national Global Early Adolescent Study, which included Baltimore, investigators looked at the consequences of challenging gender norms. While girls were accepted in taking on ‘masculine’ behaviors, the opposite was not so acceptable.
Topic: Gender Norms; Adolescence
Acceptability of microbicidal vaginal rings and oral pre-exposure prophylaxis for HIV prevention among female sex workers in a high-prevalence US city
Female sex workers’ attitudes and knowledge about daily use oral pre-exposure prophylaxis (PrEP) and monthly use vaginal microbicidal rings were studied in Baltimore.
Topic: HIV Prevention; Female Sex Worker (FSW)
Relationships between Vacant Homes and Food Swamps: A Longitudinal Study of an Urban Food Environment
The ‘food-swamp index’ was evaluated in Baltimore to understand the mechanisms for seemingly higher premature mortality rate from cancer and diabetes in areas with a high proportion of vacant homes.
Topic: Food; Neighborhood
Client and Partner Violence Among Urban Female Exotic Dancers and Intentions for Seeking Support and Justice
This study among new female exotic dancers in Baltimore indicated the need to look at system changes to address the violence faced by this group.
Topic: Partner Violence; Exotic Dancers
Positive Expectations Regarding Aging Linked to More New Friends in Later Life
This study based on the Baltimore Experience Corps Trial, looked at social life and aging. Those with positive expectations made more friendships and had greater perceptions of support.
Topic: Aging; Social Support
Electronic cigarette use behaviors and motivations among smokers and non-smokers
This study among adult Baltimorean never smokers, former-smokers and current smokers look at the reasons for e-cigarette use. Never smoker e-cigarette users are an interesting group to research further.
Topic: E-cigarette; Smokers
The association of e-cigarette use with exposure to nickel and chromium: A preliminary study of non-invasive biomarkers
Urine, saliva and breath condensate were collected from e-cigarette users from Baltimore in this study. Results showed that higher aerosol concentrations of nickel and chromium were correlated with higher metal internal dose (biomarkers) in the users’ bodies.
Topic: E-cigarette; Nickel; Chromium
Associations of depression status and hopelessness with blood pressure: a 24-year follow-up study
Data from the Baltimore Epidemiologic Catchment Area Study (ECA) were analyzed to study the relationship between depression and elevated blood pressure. Hopelessness was found to have a positive relationship with high systolic blood pressure.
Topic: Mental Health; Blood Pressure
The Impact of a Multi-Level Multi-Component Childhood Obesity Prevention Intervention on Healthy Food Availability, Sales, and Purchasing in a Low-Income Urban Area
The B'more Healthy Communities for Kids (BHCK) was an intervention in low-income areas of Baltimore city considered to be ‘food deserts’. Applied at multiple levels using multiple components, the intervention aimed to prevent childhood obesity in these areas and resulted in increased stocking of healthy products in corner stores and more children purchasing the promoted healthier food items (but not their adult caregivers). There was no difference in post-interventional net sales.
Topic: Food; Obesity
Differences in Coping Among African American Women With Breast Cancer and Triple-Negative Breast Cancer
Patients taking chemotherapy were studied in a small, pilot study in a Baltimorean hospital (Johns Hopkins) for triple-negative versus non-triple-negative breast cancer coping differences.
Topic: Breast Cancer; African-American Women
Improving Outcomes After Hospitalization: A Prospective Observational Multicenter Evaluation of Care Coordination Strategies for Reducing 30-Day Readmissions to Maryland Hospitals
The relationship between transition from hospital to home and 30-day readmission was studied in two Baltimorean hospitals. Care coordination interventions were associated with lower readmissions.
Topic: 30-day Readmission
APOE Genotype and Nonrespiratory Sleep Parameters in Cognitively Intact Older Adults
The Apo E genotype, which increases Alzheimer’s Disease risk, was studied using data from the Baltimore Longitudinal Study of Aging.
Topic: Sleep; Aging
Perceived barriers to bicycling in an urban U.S. environment
Baltimoreans aged 18 to 75 were surveyed to assess perceived barriers to cycling. Differences by sex were also examined.
Topic: Bicycling; Road Safety
Physical and Sexual Violence Predictors
Gender-based violence history was collected from participants in the Women's Interagency HIV Study. Data revealed that urban women living with HIV and their uninfected counterparts face sustained gender-based violence risk, and past experiences of violence create sustained risk.
Topic: Gender-based violence; HIV/AIDS
Food insecurity, overweight and obesity among low-income African-American families in Baltimore City: Associations with food-related perceptions
Cross-sectional survey data found that obesity and food insecurity are major problems in the low-income, predominantly African-American neighborhoods studied.
Topic: Nutrition; Obesity
Household, psychosocial, and individual-level factors associated with fruit, vegetable, and fiber intake among low-income urban African American youth
An analysis of individual characteristic, psychosocial, and household factors found that both youth and household factors were associated with youth intake of fruits, vegetables, and fiber, underscoring the need for a multi-level approach to increasing youth diet quality.
Topic: Nutrition; Childhood Obesity; Adolescent Health
Perceived Social Support From Friends and Parents for Eating Behavior and Diet Quality Among Low-Income, Urban, Minority Youth
This study examines relationships between social support and quality of dietary intake among adolescents.
Topic: Nutrition; Adolescent Health
Multi-Level, Multi-Component Approaches to Community Based Interventions for Health Living - A Three Case Comparison
Analysis of three case studies of multi-level, multi-component intervention programs for community-based public health nutrition changes, including B'More Healthy Communities for Kids.
Topic: Nutrition; Adolescent Health
Postpartum Weight Retention Risk Factors and Relationship to Obesity at One Year
Exploration of risk factors for postpartum weight retention one year after delivery in predominantly low income women using data within the Community Child Health Network, a national five-site study that includes Baltimore. The study concludes that postpartum weight retention is a significant contributor to the risk for obesity and discusses behaviors that may lower this risk.
Topic: Maternal Health; Obesity
Promotion of Service Integration Among Home Visiting Programs and Community Coalitions Working with Low-Income, Pregnant, and Parenting Women
This study assessed service integration promoted by home visitors and community coalitions in Baltimore's Comprehensive Family Support Strategy. The authors argue that home visiting practitioners should consider including coalitions as part of their program models in order to better link clients to appropriate community resources.
Topic: Maternal health
Communication Between Key Stakeholders within a Medical Home: A Qualitative Study
This study examined perceived benefits, detriments, and barriers to communication between pediatric providers and home visitors.
Topic: Child health
Police Encounters Among Needle Exchange Clients in Baltimore: Drug Law Enforcement as a Structural Determinant of Health
This study pilots a monitoring mechanism to document police encounters around programs targeting people who inject drugs. Findings indicate that being younger, being male, and making frequent visits to needle exchange program sites were associated with reported police stops.
Topic: Drug Users; Harm Reduction; Law Enforcement
Attitudes towards Power in Relationships and Sexual Concurrency within Heterosexual Youth Partnerships in Baltimore, MD
Examination of the association between attitudes about gender roles and reportedly having more than one sexual partner among Baltimore youth.
Topic: Sexually Transmitted Infections; Adolescent Health
Exotic Dance in Baltimore: From Entry to STI/HIV Risk
This paper describes the factors that influenced women's entry into exotic dance and explores the relation of these forces to their subsequent STI/HIV risk trajectory.
Topic: Sex Work; Sexually Transmitted Infections
Structural vulnerabilities to HIV/STI risk among female exotic dancers in Baltimore, Maryland
An assessment of the relationship between vulnerability and risk behavior indicated that exotic dancers with a high vulnerability score were more likely to report sex exchange and multiple sex partnerships.
Topic: Sex Work; Sexually Transmitted Infections
Risk Managers' Descriptions of Programs to Support Second Victims after Adverse Events
This paper investigated the presence, features, and perceived efficacy of support programs for clinicians involved in adverse events.
Topic: Physicians
Identifying Changes in Scores on the EORTC-QLQ-C30 Representing a Change in Patients' Supportive Care Needs
This secondary analysis examined how changes on a health-related quality-of-life measure represents important changes in supportive care needs in newly-diagnosed cancer patients.
Topic: Medical; Patient Care
Engaging City Youth in Urban Agriculture: Examining a Farm-Based High School Internship Program through the Lens of Self-Determination Theory
A year-long case study examined the experiences of eleventh- and twelfth-grade students participating in a youth internship program at a farm in Baltimore. Findings indicate specific strategies that urban agriculture programs can use to more effectively engage youth.
Topic: Urban Agriculture; Youth
HIV testing among youth in a high-risk city: prevalence, predictors and gender differences
This describes the prevalence of past-year HIV testing and evaluates associations between HIV testing and individual- and partner-level factors by gender among heterosexually experienced adolescents in Baltimore.
Topic: Adolescent Health; Sexual Health
"What makes you think you have special privileges because you're a police officer?" A qualitative exploration of police's role in the risk environment of female sex workers
Female sex workers in Baltimore discuss experiences of police verbal harassment, sexual exploitation, extortion, and a lack of police responsiveness to 911 calls in emergencies. This study underscores the need for targeting police in reducing sex workers' HIV and other risks.
Topic: Sex Work; Law Enforcement; Harm Reduction
Impact of Baltimore Healthy Eating Zones: An Environmental Intervention to Improve Diet Among African American Youth
This study assessed the impact of a youth-targeted multi-level nutrition intervention aimed at increasing availability and selection of healthful foods. The intervention was associated with reductions in youth BMI.
Topic: Nutrition; Obesity; Adolescent Health
B'more healthy: retail rewards - design of a multi-level communications and pricing intervention to improve the food environment in Baltimore City
Assessment of a performance-based pricing and communications incentive in small food stores as a strategy to encourage local wholesalers and storeowners to share responsibility in creating a healthier food supply.
Topic: Nutrition; Obesity
Characteristics of Youth Food Preparation in Low-Income, African-American Homes: Associations with Healthy Eating Index Scores
This study explores food preparation behaviors among adolescents in low-income households and analyzes a potential association to diet quality.
Topic: Nutrition; Adolescent Health
Healthy versus Unhealthy Suppliers in Food Desert Neighborhoods: A Network Analysis of Corner Stores' Food Supplier Networks
Using network analysis, the authors determine how different corner store and food supplier characteristics are correlated. They argue that suppliers fall into two categories: those providing primarily healthy foods and those providing primarily unhealthy foods.
Topic: Nutrition; Food Deserts
Low-income African-American adults share weight status, food-related psychosocial factors and behaviours with their children
This study examined the weight status, psychosocial characteristics, and food-related behaviors of low-income African-American children and found they are positively associated with that of their adult caregivers. These findings may help inform obesity treatment or prevention programs and interventions aimed at parents and families.
Topic: Obesity; Child Health; Family Health
Increasing access to fresh produce by pairing urban farms with corner stores: a case study in a low-income urban setting
This pre-post evaluation found that the pairing of urban farms and corner stores in Baltimore is feasible and could be a new model to increase access to fruits and vegetables among low-income urban neighborhoods.
Topic: Nutrition
Combining Ground-Truthing and Technology to Improve Accuracy in Establishing Children's Food Purchasing Behaviors
Introduction of a technology-based method for collecting information on food source usage among children in Baltimore City.
Topic: Nutrition; Technology
Incorporating Systems Science Principles into the Development of Obesity Prevention Interventions: Principles, Benefits, and Challenges
This paper outlines a set of principles for developing community-level models for obesity control, and highlights the benefits and challenges involved in the process.
Topic: Obesity
Intravenous Iron Exposure and Mortality in Patients on Hemodialysis
Examination of the associations between short- and long-term iron exposure on all-cause and cause-specific mortality in dialysis patients.
Topic: Dialysis; Medical
When Using Patient-Reported Outcomes in Clinical Practice, the Measure Matters: A Randomized Controlled Trial
The authors advise careful selection of the patient-reported outcome (PRO) measures to be used in clinical practice to inform individual patient management and provide evidence of which PROs are best suited for clinical use.
Topic: Medical; Patient Care
Comparison of Hospital Consumer Assessment of Healthcare Providers and Systems Patient Satisfaction Scores for Specialty Hospitals and General Medical Hospitals: Confounding Effect of Survey Response Rate
Comparison of satisfaction scores for specialty hospitals and general medical hospitals. Specialty hospitals have a significantly higher overall patient satisfaction score. However, the authors warn that much of the difference disappears when adjusted for survey response rate.
Topic: Medical; Patient Care
An instrumental variable approach finds no associated harm or benefit from early dialysis initiation in the United States
This retrospective cohort study uses an instrumental variable approach to examine the association between dialysis initiation and mortality.
Topic: Dialysis; Medical
Predialysis Systolic BP Variability and Outcomes in Hemodialysis Patients
Examination of the association of BP variability with clinical outcomes in hemodialysis patients.
Topic: Dialysis; Medical
Predialysis Health, Dialysis Timing, and Outcomes among Older United States Adults
Examination of the association of predialysis health with timing of dialysis initiation in older adult patients and contrasts morbidity and mortality outcomes among patients with early versus later initiation.
Topic: Dialysis; Medical
Respondent-driven sampling for an adolescent health study in vulnerable urban settings: a multi-country study
Overview of the methodology of a respondent-driven sampling survey to recruit male and female adolescents living in economically distressed urban settings, including challenges and necessary adaptations for use.
Topic: Adolescent Health
Prevalence and Determinants of Adolescent Pregnancy in Urban Disadvantaged Settings Across Five Cities
Exploration of the sociodemographic, behavioral, and environmental-level factors associated with adolescent pregnancy across five urban disadvantaged settings yielded substantial variability by location due to differences in sexual experience and environmental context.
Topic: Adolescent Health; Reproductive Health
Prevalence and Health Impact of Intimate Partner Violence and Non-partner Sexual Violence Among Female Adolescents Aged 15-19 Years in Vulnerable Urban Environments: A Multi-Country Study
Female adolescents from urban environments around the world participated in this cross-sectional survey to identify the prevalence of past-year physical and sexual intimate partner violence, and lifetime and past-year non-partner sexual violence. Findings affirm the negative health influence of gender based violence even in disadvantaged urban settings that present a range of competing health threats.
Topic: Intimate Partner Violence
Relation between the Supplemental Nutritional Assistance Program cycle and dietary quality in low-income African Americans in Baltimore, Maryland
Examination of SNAP (food stamps) recipients' nutrient intake during the days and weeks after benefit disbursement.
Topic: Nutrition
B'More healthy communities for kids: design of a multi-level intervention for obesity prevention for low-income African American children
Discussion of a multi-level, multi-component intervention to increase access to, demand for, and consumption of healthier foods by low-income African American children. Emphasizes both the built environment (food sources) and the social environment (families and peers).
Topic: Nutrition; Child Health
The Preconception Stress and Resiliency Pathways Model: A Multi-Level Framework on Maternal, Paternal, and Child Health Disparities Derived by Community-Based Participatory Research
Five sites, including Baltimore, comprise the Community Child Health Network (CCHN). This article introduces the Preconception Stress and Resiliency Pathways Model, developed by the CCHN, to discuss improved family outcomes.
Topic: Child Health; Family Health
Residency schedule, burnout and patient care among first-year residents
A cross-sectional survey of first-year medicine residents assessed residency schedule characteristics to evaluate which elements were associated with resident burnout and fatigue and whether resident burnout and fatigue were associated with lower perceived quality of patient care.
Topic: Medical; Physicians
In the Wake of the 2003 and 2011 Duty Hours Regulations, How Do Internal Medicine Interns Spend Their Time?
In light of changes to common program requirements for graduate medical students, this study aimed to determine how internal medicine interns spend their time in the hospital, comparing the years 2011 and 2003.
Topic: Physicians; Medical
On higher ground: ethical reasoning and its relationship with error disclosure
Surveys of house officers in internal medicine at Johns Hopkins Hospital found an association between ethical reasoning scores and acknowledging medical errors, providing detailed explanations of the error, and taking personal responsibility. The authors suggest that ethical training may help to improve disclosure of medical errors.
Topic: Medical; Physicians
Building Connections Between Officers and Baltimore City Youth: Key Components of a Police-Youth Teambuilding Program
Analysis of a police-youth program indicates that the program successfully brings officers and youth together in a situation in which they have equal status, share common goals, must cooperate to succeed, and have the support of authority figures. Outcomes include reduced stereotyping of the opposite group and a desire for future positive interactions.
Topic: Youth; Law Enforcement
Violence against women in sex work and HIV risk implications differ qualitatively by perpetrator
In-depth interviews and brief surveys were used to describe the nature of abuse against women in sex work and its STI/HIV implications, across perpetrators. Findings affirm the need to address physical and sexual violence as a social determinant of health for women in sex work.
Topic: Intimate Partner Violence; Sex Work
How You Screen is as Important as Whether You Screen: A Qualitative Analysis of Violence Screening Practices in Reproductive Health Clinics
Qualitative, in-depth interviews with healthcare providers in urban reproductive health clinics in Baltimore City were used to understand screening practices for intimate partner violence. Findings demonstrated substantial variation in screening practices, despite existence of a screening tool.
Topic: Intimate Partner Violence
Effects of Baltimore's Safe Streets Program on Gun Violence: A Replication of Chicago's CeaseFire Program
Comparison of changes in number of homicides and nonfatal shooting incidents in Baltimore neighborhoods that implemented an evidence-based public health approach to preventing gun violence. Program-related reductions in homicides appear to be linked with conflict mediations conducted by program outreach workers.
Topic: Gun Violence
Process Evaluation of Healthy Bodies, Healthy Souls: a church-based health intervention program in Baltimore City
This paper details a three-part process evaluation adopted to evaluated implementation success of a church-based health intervention program. Success was measured by reach, dose delivered, and fidelity of interactive sessions.
Topic: Nutrition
Environmental Factors That Impact the Eating Behaviors of Low-income African American Adolescents in Baltimore City
Qualitative research using in-depth interviews, focus groups, and direct observation found six thematic categories of food-related habits of low-income, African American, urban adolescents.
Topic: Nutrition
"This is Our Sanctuary": Perceptions of Safety among Exotic Dancers in Baltimore, Maryland
This qualitative study explores the nature of the safety climate of exotic dance clubs in Baltimore. The authors assert that understanding the contextual factors that influence how dancers prioritize risk in their work settings is crucial for creating programs to reduce risk.
Topic: Sex Work; Harm Reduction
Risky Food Safety Behaviors Are Associated with Higher BMI and Lower Healthy Eating Self-Efficacy and Intentions among African American Churchgoers in Baltimore
This study investigates the relationship of health indicators and psychosocial factors with food safety behaviors and identifies groups who are more likely to practice risky food safety behaviors which can lead to foodborne illness.
Topic: Nutrition; Food Safety
Healthier Home Food Preparation Methods and Youth and Caregiver Psychosocial Factors Are Associated with Lower BMI in African American Youth
Investigation of the relationship between home food preparation and BMI of African American adolescents and their caregivers. The authors argue that family meals are a promising adolescent obesity prevention strategy, but it is important to target both frequency and healthfulness of meals prepared at home.
Topic: Nutrition; Obesity; Adolescent Health
More than a dance: The production of sexual health risk in the exotic dance clubs in Baltimore, USA
This study examines the nature of the physical, social, and economic risk environments in promoting drug and sexual risk behaviors, and illuminates characteristics of the environment that should be targeted for interventions.
Topic: Sex Work
The Geography of Heterosexual Partnerships in Baltimore City Adults
This study builds on an older study that determined STD clinic patients in Baltimore tended to seek partners within close proximity, and finds the same results in a non-STD clinic population. The authors argue a continuing need for neighborhood approaches to intervention programs in urban areas.
Topic: Sexually Transmitted Infections
Korean American Storeowners' Perceived Barriers and Motivators for Implementing a Corner Store-Based Program
In-depth interviews with Korean American corner store owners were used to examine motivating factors for participation in a year-long corner store based program, barriers to program implementation, perceived effectiveness of intervention materials, and perceptions about the program. Found that the level of support and active participation of storeowners can greatly influence the success of corner store-based nutrition interventions.
Topic: Nutrition
Access to food source and food source use are associated with healthy and unhealthy food-purchasing behaviours among low-income African-American adults in Baltimore City
Exploration of food-purchasing patterns in low-income areas in the context of food source use and access. The authors found that corner stores are easily accessible and frequently used food sources, and argued that interventions to increase the availability and promotion of healthy foods in corner stores are needed.
Topic: Nutrition
Proximity to vacant buildings in associated with increased fire risk in Baltimore, Maryland, homes
Empirical measurement of the association between property vacancy and fire risk at the individual household level. The authors argue that measurement of this risk can motivate property owners, policy makers, and insurers to invest in risk reduction measures that include building maintenance and trash removal.
Topic: Injury Prevention
Risks associated with crack cocaine smoking among exotic dancers in Baltimore MD
A cross-sectional study to examine the prevalence and correlates of crack cocaine smoking among a sample of exotic dancers finds high levels of drug use and sexual risk behaviors as well as a number of risks behaviors associated with crack cocaine smoking. The authors argue a need for targeted interventions.
Topic: Sex Work; Drug Users
Parent Perspectives of Health Related Quality of Life for Adolescents With Bladder Exstrophy-Epispadias as Measured by the Child Health Questionnaire-Parent Form 50
This study examined parent-reported health related quality of life for adolescents with bladder exstrophy-epispadias.
Topic: Adolescent Health
Food Insecurity Is Associated With Food-Related Psychosocial Factors and Behaviors Among Low-Income African American Adults in Baltimore City
This study discusses the relationship between food insecurity and knowledge, self-efficacy, intentions, healthy and unhealthy food getting, and preparation, and argues that efforts to improve the nutritional health of the food insecure population should focus on psychosocial factors and food-related behaviors.
Topic: Nutrition
Process Evaluation of Baltimore Healthy Stores: A Pilot Health Intervention Program With Supermarkets and Corner Stores in Baltimore City
A feasibility study of an environmental intervention with the goal to increase availability of health food options and promote them at point of purchase in low-income urban settings. Results indicate that small food store-based intervention programs are feasible to implement and are a viable means of increasing healthy food availability and a good location for point-of-purchase promotions.
Topic: Nutrition
An Urban Food Store Intervention Positively Affects Food-Related Psychosocial Variables and Food Behaviors
This publication is an impact evaluation of an intervention trial in nine food stores that included an environmental component to increase stocks of more nutritious foods and point-of-purchase promotions including signage for healthy choices and interactive nutrition education sessions.
Topic: Nutrition
Healthy food purchasing among African American youth: associations with child gender, adult caregiver characteristics and the home food environment
Examination of how factors related to the home food environment and individual characteristics are associated with healthy food purchasing among low-income African American adolescents.
Topic: Nutrition
Utilization patterns and correlates of retention among clients of the needle exchange program in Baltimore, Maryland
Patterns of retention in the Baltimore Needle Exchange Program from 1994 to 2006 were calculated, and characteristics of low retention were identified to include young age, being married, having an injection drug use history of less than 20 years, and living farther away from the program site.
Topic: Drug Users; Harm Reduction
Evaluation of the Staying Alive programme: Training injection drug users to properly administer naloxone and save lives
The purpose of this study was to evaluate a Baltimore program which trained drug users to prevent and respond to opiate overdose using techniques including mouth-to-mouth resuscitation and administration of naloxone. Results provide additional evidence to support the effectiveness of overdose prevention training programs that include skills building for drug users to administer naloxone.
Topic: Drug Users; Harm Reduction
Disclosing Medical Errors to Patients: It's not What You Say, It's What They Hear
This study determined that in the event of injury by medical care, patients will probably respond more favorably to physicians who apologize and accept responsibility for medical errors than those who do not apologize or who give ambiguous responses.
Topic: Medical Error; Physicians
Neighborhood Effects on Birthweight: An Exploration of Psychosocial and Behavioral Pathways in Baltimore, 1995-1996
This study examined the impact of neighborhood environment on birthweight and found that neighborhood factors may influence birthweight by shaping maternal behavioral risks. Thus, the authors argue, neighborhood level interventions should be considered to address multiple maternal and infant health risks.
Topic: Birth Outcomes
A corner store intervention in a low-income urban community is associated with increased availability and sales of some healthy foods
An evaluation of a corner store-based nutrition intervention trial in Baltimore City demonstrates that increases in stocking and promotion of healthy foods can result in increased sales, and interventions in small corner stores may be a feasible means of improving the availability of healthy foods in a low-income urban community.
Topic: Nutrition; Food Desert
Assessment of dietary intake in an inner-city African American population and development of a quantitative food frequency questionnaire to highlight foods and nutrients for a nutritional invention
This study characterizes the diets of low-income inner-city African Americans in order to develop a population-specific questionnaire for a nutritional intervention program aimed at reducing the risks of chronic disease. The results highlighted specific foods and nutrients to target in the nutritional intervention.
Topic: Nutrition
"The life they save may be mine": Diffusion of overdose prevention information from a city sponsored programme
This qualitative study examines diffusion of information and innovation among participants in Staying Alive, an overdose prevention and naloxone distribution program in Baltimore. The study demonstrates injection drug users' interest in and ability to diffuse overdose prevention information and response skills to the injection drug use community.
Topic: Drug Users; Harm Reduction
Illicit Drug Use and Adverse Birth Outcomes: Is It Drugs or Context?
Examination of the degree to which adverse birth outcomes associated with use of marijuana, cocaine, and opiates are due to the drugs versus surrounding factors. Found that no drug was significantly related to low birth weight, and argues that prevention efforts to improve newborn health must also address the surrounding context in which drug use frequently occurs.
Topic: Birth Outcomes; Drug Users
Understanding the Food Environment in a Low-Income Urban Setting: Implications for Food Store Interventions
The authors use a combination of qualitative and quantitative methods to develop a food store-based intervention for low-income African Americans in Baltimore, and argue that corner stores are an important venue for nutrition intervention.
Topic: Nutrition
Human Papillomavirus Seroprevalence Among Young Male and Female Drug Users
HPV seroprevalence was determined to be high among young drug users and significantly higher among females than males, supporting previous findings.
Topic: Drug Users; Sexually Transmitted Infections
Choices for Healthy Outcomes In Caring for End Stage Renal Disease
This study places emphasis on the perspective of dialysis patients in order to provide information and tools to guide physicians and providers in selecting optimal dialysis practices for patients with end stage renal disease.
Dialysis; Renal Disease
Trends in low birth weight infants and changes in Baltimore's childbearing population, 1972-77
This study examines the effects of changes in the characteristics of the childbearing population on trends in low birth weight rates in Baltimore between 1972 and 1977.
Topic: Birth Outcomes
Functional Status of Persons with HIV Infection in an Ambulatory Setting
This article reviews baseline clinical and demographic data on patients with HIV infection presenting for care between December 1988 and May 1991 and describes their functional status.
Topic: HIV/AIDS
Patient's view of dialysis care: Development of a taxonomy and rating of importance of different aspects of care
This study characterizes dialysis care from the patients' perspective and ranks broad aspects of care using transcripts from patient focus groups.
Topic: Dialysis; Renal Disease
Effects of Physical Activity on Preterm Birth
A cohort study of low income women investigating the effect of physical activity on the risk of preterm birth.
Topic: Birth Outcomes
Drug users' involvement in the drug economy: implications for harm reduction and HIV prevention programs
Exploration of individual and social characteristics associated with cocaine and heroin users' involvement in the drug economy in Baltimore. Of the sample studied, 44% held at least one role in the drug economy.
Topic: Drug Users
Social influences on the transition to injection drug use among young heroin sniffers: a qualitative analysis
This qualitative study explored the transition of young drug users' from heroin sniffing to injecting and found a range of influencing factors including families, friends, sexual partners, expense of sniffing compared to perceived cost of injecting, and the endemic nature of injection in local neighborhoods.
Topic: Drug Users; Harm Reduction
Poor Validity of Self-Reported Hepatitis B Virus Infection and Vaccination Status among Young Drug Users
This study found that more than half of the young drug using survey participants claiming to be vaccinated from hepatitis B virus (HBV) were actually susceptible to HBV. The authors argue clinicians should adopt a "Don't Ask, Vaccinate" vaccination policy for young drug users.
Topic: Drug Users; Hepatitis B; Harm Reduction
A Programmable Prompting Device Improves Adherence to Highly Active Antiretroviral Therapy in HIV-Infected Subjects with Memory Impairment
This article measures the effect of a memory-prompting device on adherence to highly active antiretroviral therapy in HIV-infected subjects.
Topic: HIV/AIDS
Circumstances surrounding the first injection experience and their association with future syringe sharing behaviors in young urban injection drug users
The authors found strong evidence that risky drug using behaviors can be established as early as the first injection experience and argue the need for early harm reduction prevention interventions such as educating non-injectors of the harms associated with unsafe injection practices.
Topic: Drug Users; Harm Reduction
Herpes simplex virus 2 and syphilis among young drug users in Baltimore, Maryland
This study revealed a particularly high seroprevalence of herpes simplex virus 2 and syphilis among a cohort of young drug users, especially females.
Topic: Drug Users; Sexually Transmitted Infections
Prevalence and Correlates of Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis infections, and Bacterial Vaginosis Among a Cohort of Young Injection Drug Users in Baltimore, Maryland
This study examined sexually transmitted infection prevalence and correlates among young injection drug users, and found that despite high sexual risk, prevalence of this cohort was similar to that of the general population.
Topic: Drug Users; Sexually Transmitted Infections
Prospective Evaluation of Community-Acquired Acute-Phase Hepatitis C Virus Infection
This study aimed to characterize acute-phase hepatitis C virus infections in injection drug users, and found a need for long-term follow-up to ascertain whether there is a viral persistence. Additionally, results underscored the importance of nucleic acid screening of blood donations to prevent hepatitis C virus transmission.
Topic: Drug Users; Hepatitis C
The evaluation of the JEWEL project: An innovative economic enhancement and HIV prevention intervention study targeting drug using women involved in prostitution
Evaluation of an economic empowerment and HIV prevention intervention targeting illicit drug-using women who were involved in prostitution in Baltimore. In comparing self-reported risk behaviors, researchers found significant reductions in receiving drugs or money for sex, the median number of sex trade partners per month, daily drug use, amount of money spent on drugs, and daily crack use.
Topic: Sex Work; Drug Users; Harm Reduction
Release from Jail: Moment of Crisis or Window of Opportunity for Female Detainees
The Window Study investigated factors associated with the perceived availability of stable housing upon release of female prisoners from detention and suggests the importance of pre-release planning and continuity of care for female detainees, particularly for those who have engaged in sex work.
Topic: Sex Work; Drug Users
Sexual and Drug Risk Behaviors Among Women Who Have Sex With Women
This study compared risk behaviors of female drug users who had reported how recently they had sex with women, and found that more recent sexual experiences is correlated with a higher rate of drug and sexual risk behaviors compared to women who had never had sex with women.
Topic: Drug Users; Sex Work
Measuring conflict management, emotional self-efficacy, and problem solving confidence in an evaluation of outdoor programs for inner-city youth in Baltimore, Maryland
This study describes a process for generating outcomes measurement instruments for youth participants in Baltimore City Outward Bound programs. The study measured changes in conflict management, emotional self-efficacy, and problem solving confidence in order to better understand the salient elements of outdoor education programs, the outcomes these generate, and best practices for outdoor programs to promote optimal benefits for participants.
Topic: Emotional Health
System dynamics-based evaluation of interventions to promote appropriate waste disposal behaviors in low-income urban areas: A Baltimore case study
This case study of low-income urban neighborhoods in Baltimore demonstrates the advantages of using a system dynamics model of municipal solid waste management to quantify impacts of interventions on residential waste related behavior. The authors argue that this model can help improve policy making by identifying and field testing packages of interventions rather than pilot testing all combinations.
Topic: Litter / Waste Management
Community-Academic Partnership to Investigate Low Birth Weight Deliveries and Improve Maternal and Infant Outcomes at a Baltimore City Hospital
This case control study evaluates characteristics associated with low birth weight deliveries and identifies collaborative approaches with obstetricians and community services to improve birth outcomes.
Topic: Birth Outcomes / Infant Health
Changes in Attitudes toward Guns and Shootings following Implementation of the Baltimore Safe Streets Intervention
This study measures perceived norms and viewpoints of male youth regarding gun violence pre-implementation and 1-year post-implementation of the Safe Streets intervention. The results indicate greater improvement of attitudes toward violence in the intervention community compared to the control community and offer promising insights into future community violence prevention efforts.
Topic: Gun Violence
Mobilizing for policy: using community-based participatory research to impose minimum packaging requirements on small cigars
This paper describes a community-academic-practice partnership’s efforts to decrease small cigar use in youth adults in Baltimore through legislative strategies.
Topic: Tobacco Use
Development and implementation of Baltimore Healthy Eating Zones: a youth-targeted intervention to improve the urban food environment
This study evaluates a youth-targeted environmental intervention (Baltimore Healthy Eating Zones) that aimed to increase the availability of healthy foods and promote these foods through interactive activities in low-income Baltimore City. The study found that recreation centers appear to be a promising location to interact with low-income youth and reinforce exposure to messages.
Topic: Healthy Eating; Nutrition; Adolescent Health
Influences on tobacco use among urban Hispanic young adults in Baltimore: findings from a qualitative study
This study used focus groups to explore the social and environmental influences and norms that encourage or discourage tobacco use among Hispanic young adults in Baltimore. The results provide guidance for the development of appropriate tobacco-related policy interventions and prevention strategies for Hispanic youth.
Topic: Tobacco Use