Overview
Dr. Christine (Chris) Gray is an assistant research professor in the Center for Health Policy and Inequalities Research (CHPIR) in the Duke Global Health Institute. She earned her PhD from the Department of Epidemiology at the University of North Carolina at Chapel Hill (UNC-CH) and her MPH from Emory University. She has been working with CHPIR since 2014, when she began analytic work on the longitudinal Positive Outcomes for Orphans cohort study as a doctoral student.
Prior to her doctoral studies, Chris worked for nearly a decade in public health, including completion of a three-year, post-masters fellowship at the Centers for Disease Control and Prevention (CDC), and as a program manager and scientist with the Center for the Study of Traumatic Stress at the Uniformed Services University of the Health Sciences. During her doctoral studies, Chris also worked with the Environmental Protection Agency for four years examining how simultaneous exposure to multiple environmental domains affects human health. Broadly, her research examines the role of social-environmental structures that drive disparities in mental health and well-being in vulnerable populations, particularly pediatric populations.
As an epidemiologist, Chris has great appreciation for study design, analysis, and the capacity for data to inform public health policies and practice. As a human, she understands the importance of contextualizing quantitative data with lived experiences.
Current Duke Appointments & Affiliations
Recent Scholarly Works
Maltreatment, social support, and mental well-being: A longitudinal observation study of youth in five low- and middle-income countries.
Journal article Child abuse & neglect · August 2026 BackgroundAddressing the growing child and adolescent mental health crisis is a global priority, particularly in low- and middle-income countries (LMICs). Although the literature demonstrates that experiencing maltreatment may negatively impact me ... Full text CiteExamining the Association Between Violence and PrEP Use Among Indigenous Gay and Bisexual Men in Guatemala.
Journal article AIDS and behavior · July 2026 Indigenous gay and bisexual men (GBM) in Guatemala face high rates of violence and HIV. This study seeks to understand the relationship between exposure to different forms of violence and PrEP use to inform PrEP programming in Guatemala. From June 2023- Ma ... Full text CiteOrganization-level determinants for low secondary traumatic stress in lay counselors delivering trauma-focused cognitive behavioral therapy in Kenya.
Journal article PLOS global public health · January 2026 Eighty percent of the world's youth live in low- and middle-income countries (LMICs), yet access to trauma-focused mental health care in these settings remains limited despite a high burden of mental health disorders and trauma exposure among youth. Task-s ... Full text CiteRecent Grants
Sustaining and Generalizing Evidence-based Mental Health interventions for children (SAGE-MH)
ResearchPrincipal Investigator · Awarded by National Institute of Mental Health · 2021 - 2026Positive Outcomes for Orphans: HIV Risk and Wellbeing as Young Adults
ResearchPostdoc Scholar · Awarded by National Institutes of Health · 2017 - 2024Building and Sustaining Interventions for Children (BASIC): Task-sharing mental health care in low-resource settings
ResearchResearch Specialist · Awarded by National Institutes of Health · 2017 - 2024View All Grants