Christine L Gray | Scholars@Duke

Christine L Gray
Assistant Research Professor of Global Health

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 Appointments & Affiliations

Assistant Research Professor of Global Health, Duke Global Health Institute, University Institutes and Centers 2019

Contact Information

310 Trent Drive, Room 311, Durham, NC 27708
clg56@duke.edu
Positive Outcomes for Orphans longitudinal cohort

Background
Education, Training, & Certifications
- Ph.D., University of North Carolina - Chapel Hill 2017
Expertise
Subject Headings
Global Scholarship
- Expertise
  - United States of America (Country)
- Research
Research
Selected Grants
- Sustaining and Generalizing Evidence-based Mental Health interventions for children (SAGE-MH) awarded by National Institutes of Health 2021 - 2025
- Positive Outcomes for Orphans: HIV Risk and Wellbeing as Young Adults awarded by National Institutes of Health 2017 - 2023
- Building and Sustaining Interventions for Children (BASIC): Task-sharing mental health care in low-resource settings awarded by National Institutes of Health 2017 - 2022
External Relationships
- Ace Africa Kenya
- Annenberg Center for Health Journalism at the University of Southern California
- Environmental protection agency
- National Institute of mental health
- North Carolina State University
- Society for Epidemiologic Research
- University of North Carolina at Chapel Hill
- University of Washington in Seattle
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Zewdie, Hiwot Y., Kathryn Whetten, Misganaw E. Dubie, Berhanu Kenea, Tolesa Bekele, Chimdi Temesgen, Wesene Molla, et al. “The association between urban greenspace and psychological health among young adults in Addis Ababa, Ethiopia.” Environmental Research 215, no. Pt 1 (December 2022): 114258. https://doi.org/10.1016/j.envres.2022.114258.
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  - Pack, Allison, Suzanne Maman, Heathe Luz McNaughton Reyes, Laura Nyblade, Kathryn Whetten, Catherine Zimmer, Christine L. Gray, and Carol Golin. “Predictors of HIV Testing among Orphaned Youths in Three East African Countries.” Aids and Behavior 25, no. 4 (April 2021): 1257–66. https://doi.org/10.1007/s10461-020-03104-9.
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  - Gray, Christine L., Kathryn Whetten, Julie L. Daniels, Michael G. Hudgens, Audrey E. Pettifor, Amy M. Hobbie, Nathan M. Thielman, et al. “Family Composition and Stability for Orphans: A Longitudinal Study of Well-Being in 5 Low- and Middle-Income Countries.” Int J Public Health 66 (2021): 1604057. https://doi.org/10.3389/ijph.2021.1604057.
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  - Dorsey, Shannon, Christine L. Gray, Augustine I. Wasonga, Cyrilla Amanya, Bryan J. Weiner, C Micha Belden, Prerna Martin, et al. “Advancing successful implementation of task-shifted mental health care in low-resource settings (BASIC): protocol for a stepped wedge cluster randomized trial.” Bmc Psychiatry 20, no. 1 (January 8, 2020): 10. https://doi.org/10.1186/s12888-019-2364-4.
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  - Jian, Yun, Lucas Neas, Lynne C. Messer, Christine L. Gray, Jyotsna S. Jagai, Kristen M. Rappazzo, and Danelle T. Lobdell. “Divergent trends in life expectancy across the rural-urban gradient and association with specific racial proportions in the contiguous USA 2000-2005.” International Journal of Public Health 64, no. 9 (December 2019): 1367–74. https://doi.org/10.1007/s00038-019-01274-5.
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  - Dorsey, Shannon, Rosemary D. Meza, Prerna Martin, Christine L. Gray, Noah S. Triplett, Caroline Soi, Grace S. Woodard, et al. “Lay Counselor Perspectives of Providing a Child-Focused Mental Health Intervention for Children: Task-Shifting in the Education and Health Sectors in Kenya.” Frontiers in Psychiatry 10 (January 2019): 860. https://doi.org/10.3389/fpsyt.2019.00860.
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  - Huynh, Hy V., Susan P. Limber, Christine L. Gray, Martie P. Thompson, Augustine I. Wasonga, Vanroth Vann, Dafrosa Itemba, Misganaw Eticha, Ira Madan, and Kathryn Whetten. “Factors affecting the psychosocial well-being of orphan and separated children in five low- and middle-income countries: Which is more important, quality of care or care setting?” Plos One 14, no. 6 (January 2019): e0218100. https://doi.org/10.1371/journal.pone.0218100.
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  - DeLong, Stephanie M., Laurie M. Graham, Erin P. Magee, Sarah Treves-Kagan, Christine L. Gray, Alison M. McClay, Samantha M. Zarnick, et al. “Starting the Conversation: Are Campus Sexual Assault Policies Related to the Prevalence of Campus Sexual Assault?” Journal of Interpersonal Violence 33, no. 21 (November 2018): 3315–43. https://doi.org/10.1177/0886260518798352.
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  - Patel, A. P., J. S. Jagai, L. C. Messer, C. L. Gray, K. M. Rappazzo, S. A. Deflorio-Barker, and D. T. Lobdell. “Associations between environmental quality and infant mortality in the United States, 2000-2005.” Archives of Public Health 76, no. 1 (October 15, 2018). https://doi.org/10.1186/s13690-018-0306-0.
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  - Gray, Christine L., Danelle T. Lobdell, Kristen M. Rappazzo, Yun Jian, Jyotsna S. Jagai, Lynne C. Messer, Achal P. Patel, et al. “Associations between environmental quality and adult asthma prevalence in medical claims data.” Environmental Research 166 (October 2018): 529–36. https://doi.org/10.1016/j.envres.2018.06.020.
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  - Gray, Christine L., Lynne C. Messer, Kristen M. Rappazzo, Jyotsna S. Jagai, Shannon C. Grabich, and Danelle T. Lobdell. “The association between physical inactivity and obesity is modified by five domains of environmental quality in U.S. adults: A cross-sectional study.” Plos One 13, no. 8 (January 2018): e0203301. https://doi.org/10.1371/journal.pone.0203301.
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  - Jagai, Jyotsna S., Lynne C. Messer, Kristen M. Rappazzo, Christine L. Gray, Shannon C. Grabich, and Danelle T. Lobdell. “County-level cumulative environmental quality associated with cancer incidence.” Cancer 123, no. 15 (August 2017): 2901–8. https://doi.org/10.1002/cncr.30709.
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  - Jian, Yun, Lynne C. Messer, Jyotsna S. Jagai, Kristen M. Rappazzo, Christine L. Gray, Shannon C. Grabich, and Danelle T. Lobdell. “Associations between Environmental Quality and Mortality in the Contiguous United States, 2000-2005.” Environmental Health Perspectives 125, no. 3 (March 2017): 355–62. https://doi.org/10.1289/ehp119.
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  - Grabich, S. C., K. M. Rappazzo, C. L. Gray, J. S. Jagai, Y. Jian, L. C. Messer, and D. T. Lobdell. “Additive interaction between heterogeneous environmental quality domains (Air, Water, Land, Sociodemographic, And Built Environment) on preterm birth.” Frontiers in Public Health 4, no. OCT (October 24, 2016). https://doi.org/10.3389/FPUBH.2016.00232.
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  - Gray, Christine L., Brian W. Pence, Lynne C. Messer, Jan Ostermann, Rachel A. Whetten, Nathan M. Thielman, Karen O’Donnell, and Kathryn Whetten. “Civic engagement among orphans and non-orphans in five low- and middle-income countries.” Global Health 12, no. 1 (October 11, 2016): 61. https://doi.org/10.1186/s12992-016-0202-8.
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  - Rogawski, Elizabeth T., Christine L. Gray, and Charles Poole. “An argument for renewed focus on epidemiology for public health.” Annals of Epidemiology 26, no. 10 (October 2016): 729–33. https://doi.org/10.1016/j.annepidem.2016.08.008.
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  - Gray, Christine L., Kathryn Whetten, Lynne C. Messer, Rachel A. Whetten, Jan Ostermann, Karen O’Donnell, Nathan M. Thielman, and Brian W. Pence. “Potentially traumatic experiences and sexual health among orphaned and separated adolescents in five low- and middle-income countries.” Aids Care 28, no. 7 (July 2016): 857–65. https://doi.org/10.1080/09540121.2016.1147013.
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  - Gray, Christine L., Brian W. Pence, Jan Ostermann, Rachel A. Whetten, Karen O’Donnell, Nathan M. Thielman, and Kathryn Whetten. “Prevalence and Incidence of Traumatic Experiences Among Orphans in Institutional and Family-Based Settings in 5 Low- and Middle-Income Countries: A Longitudinal Study.” Glob Health Sci Pract 3, no. 3 (August 25, 2015): 395–404. https://doi.org/10.9745/GHSP-D-15-00093.
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  - Guidry, Virginia T., Christine L. Gray, Amy Lowman, Devon Hall, and Steve Wing. “Data quality from a longitudinal study of adolescent health at schools near industrial livestock facilities.” Annals of Epidemiology 25, no. 7 (July 2015): 532-8.e1. https://doi.org/10.1016/j.annepidem.2015.03.005.
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  - Rappazzo, Kristen M., Lynne C. Messer, Jyotsna S. Jagai, Christine L. Gray, Shannon C. Grabich, and Danelle T. Lobdell. “The associations between environmental quality and preterm birth in the United States, 2000-2005: a cross-sectional analysis.” Environmental Health : A Global Access Science Source 14 (June 2015): 50. https://doi.org/10.1186/s12940-015-0038-3.
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  - Gokhale, M., J. B. Buse, C. L. Gray, V. Pate, M. A. Marquis, and T. Stürmer. “Dipeptidyl-peptidase-4 inhibitors and pancreatic cancer: a cohort study.” Diabetes, Obesity & Metabolism 16, no. 12 (December 2014): 1247–56. https://doi.org/10.1111/dom.12379.
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  - Li, Xiaojuan, Wendy Camelo Castillo, Til Stürmer, Virginia Pate, Christine L. Gray, Ross J. Simpson, Soko Setoguchi, Laura C. Hanson, and Michele Jonsson Funk. “Use of combination antihypertensive therapy initiation in older Americans without prevalent cardiovascular disease.” Journal of the American Geriatrics Society 62, no. 9 (September 2014): 1729–35. https://doi.org/10.1111/jgs.12976.
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  - Gray, Christine L., and Whitney R. Robinson. “Throwing out the baby with the bathwater?: Comparing 2 approaches to implausible values of change in body size.” Epidemiology 25, no. 4 (July 2014): 591–94. https://doi.org/10.1097/EDE.0000000000000111.
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  - McKibben, Jodi B. A., Carol S. Fullerton, Christine L. Gray, Ronald C. Kessler, Murray B. Stein, and Robert J. Ursano. “Mental health service utilization in the U.S. Army.” Psychiatric Services (Washington, D.C.) 64, no. 4 (April 2013): 347–53. https://doi.org/10.1176/appi.ps.000602012.
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  - Santiago, Patcho N., Robert J. Ursano, Christine L. Gray, Robert S. Pynoos, David Spiegel, Roberto Lewis-Fernandez, Matthew J. Friedman, and Carol S. Fullerton. “A systematic review of PTSD prevalence and trajectories in DSM-5 defined trauma exposed populations: intentional and non-intentional traumatic events.” Plos One 8, no. 4 (January 2013): e59236. https://doi.org/10.1371/journal.pone.0059236.
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  - Fullerton, Carol S., Dori B. Reissman, Christine Gray, Brian W. Flynn, and Robert J. Ursano. “Earthquake response and psychosocial health outcomes: applying lessons from integrating systems of care and recovery to Haiti.” Disaster Medicine and Public Health Preparedness 4, no. 1 (March 2010): 15–17. https://doi.org/10.1001/dmp.2010.5280.
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- Book Sections
  - Gray, C. L., S. Ariely, B. W. Pence, and K. Whetten. “Why institutions matter: Empirical data from five low- and middle-income countries indicate the critical role of institutions for orphans.” In Child Maltreatment in Residential Care: History, Research, and Current Practice, 379–400, 2017. https://doi.org/10.1007/978-3-319-57990-0_18.
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  - Biggs, Q. M., J. M. Guimond, C. S. Fullerton, R. J. Ursano, C. Gray, M. Goldenberg, D. Reissman, J. E. McCarroll, P. Santiago, and M. P. Tyler. “The Epidemiology of Acute Stress Disorder and Other Early Responses to Trauma in Adults.” In The Oxford Handbook of Traumatic Stress Disorders, 2012. https://doi.org/10.1093/oxfordhb/9780195399066.013.0006.
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Education, Training, & Certifications

Subject Headings

Global Scholarship

Expertise

Research

Selected Grants

External Relationships

Selected Publications

Academic Articles

Book Sections