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Michelle Joette White

Associate Professor of Pediatrics
Pediatrics, Hospital Medicine

Selected Publications


Family Ties and Health: Exploring the Link Between Parents' Social Networks and Child Obesity.

Journal Article Child Obes · October 2025 Background: African American (AA) and Hispanic children are at high risk of developing obesity. Social networks are powerful drivers of health behaviors and outcomes. Parent social network characteristics may influence child health behaviors and obesity ri ... Full text Link to item Cite

Interfacility Transfer Outcomes Among Children With Complex Chronic Conditions: Associations Between Patient-Level and Hospital-Level Factors and Transfer Outcomes.

Journal Article Hosp Pediatr · February 1, 2024 OBJECTIVES: Determine patient- and referring hospital-level predictors of transfer outcomes among children with 1 or more complex chronic conditions (CCCs) transferred to a large academic medical center. METHODS: We conducted a retrospective chart review o ... Full text Link to item Cite

Positive Outliers: A Mixed Methods Study of Resiliency to Childhood Obesity in High-Risk Neighborhoods.

Journal Article Acad Pediatr · 2024 OBJECTIVE: Despite the high prevalence of obesity and the clustering of risk by neighborhood, few studies have examined characteristics which promote healthy child weight in neighborhoods with high obesity risk. We aimed to identify protective factors for ... Full text Link to item Cite

Organizational trust, usability, and inclusivity are key implementation facilitators for a proposed assets-based mobile health intervention.

Journal Article Transl Behav Med · July 1, 2023 Assets-based interventions can address child health disparities by connecting families to existing community resources. Community collaboration when designing interventions may identify barriers and facilitators to implementation. The objective of this stu ... Full text Link to item Cite

Local-Level Immigration Enforcement and Risk of Pediatric Hospitalization for Ambulatory Care Sensitive Conditions.

Journal Article J Immigr Minor Health · April 2022 Featured Publication Immigration enforcement may disrupt access to health care, potentially increasing hospitalizations for Ambulatory Care Sensitive Conditions (ACSC). We aimed to assess the effect of local-level 287(g) immigration enforcement on North Carolina pediatric ACSC ... Full text Link to item Cite

Parenting Stress, Child Weight-Related Behaviors, and Child Weight Status.

Journal Article Child Obes · April 2022 Background: There has been limited examination of the association between parenting stress and child weight-related behaviors. We aimed to determine whether parenting stress is associated with child weight-related behaviors, including physical activity, sc ... Full text Link to item Cite

Racial and Ethnic Differences in Maternal Social Support and Relationship to Mother-Infant Health Behaviors.

Journal Article Acad Pediatr · 2022 OBJECTIVE: To examine racial and ethnic differences in maternal social support in infancy and the relationship between social support and mother-infant health behaviors. METHODS: Secondary analysis of baseline data from a multisite obesity prevention trial ... Full text Link to item Cite

The significant places of African American adults and their perceived influence on cardiovascular disease risk behaviors.

Journal Article BMC public health · November 2021 BackgroundAA living in rural areas of the southeastern U.S. experience a disproportionate burden of cardiovascular disease (CVD) morbidity and mortality. Neighborhood environmental factors contribute to this disparity and may decrease the effectiv ... Full text Cite

Changes in the Recreational Built Environment and Youth Body Mass Index.

Journal Article Acad Pediatr · 2021 OBJECTIVE: Many cities have implemented programs to improve the recreational built environment. We evaluated whether neighborhood recreational built environmental changes are associated with change in body mass index (BMI). METHODS: We performed a longitud ... Full text Link to item Cite

Associations between milk fat content and obesity, 1999 to 2016.

Journal Article Pediatr Obes · May 2020 BACKGROUND: The relationship between milk fat content and body mass index (BMI) remains unclear. The objective of this study was to determine if milk fat content is associated with obesity in children, adolescents and young adults. METHODS: We used repeate ... Full text Link to item Cite

Back in the Day: Nostalgia Frames Rural Residents' Perspectives on Diet and Physical Activity.

Journal Article J Nutr Educ Behav · February 2020 OBJECTIVE: To observe and interpret cultural influences on health behaviors in a rural area with a high prevalence of obesity. DESIGN: Descriptive, qualitative study. SETTING: Lenoir County, NC, US. PARTICIPANTS: Four focus groups (n = 33) were conducted. ... Full text Link to item Cite

Interfacility Transfers Among Patients With Complex Chronic Conditions.

Journal Article Hosp Pediatr · February 2020 OBJECTIVES: To describe interfacility transfers among children with complex chronic conditions (CCCs) and determine if interfacility transfer was associated with health outcomes. We hypothesized that interfacility transfer would be associated with length o ... Full text Link to item Cite

Body Mass Index Change Between Referral to and Enrollment in Pediatric Weight Management.

Journal Article Clin Pediatr (Phila) · January 2020 This study describes changes in body mass index z score (BMIz) and percent of 95th percentile (P95) between referral to pediatric weight management (PWM) and initial PWM visit. We conducted a prospective cohort analysis among subjects (n = 77) aged 5 to 11 ... Full text Link to item Cite

Neighborhood Commute to Work Times and Self-Reported Caregiver Health Behaviors and Food Access.

Journal Article Acad Pediatr · 2019 OBJECTIVE: Time spent commuting is associated with obesity. The objective of this study was to assess the relationship between neighborhood-level commute to work (CTW) times and self-reported health behaviors and food access. METHODS: We conducted a cross- ... Full text Link to item Cite

The perceived influence of cost-offset community-supported agriculture on food access among low-income families.

Journal Article Public Health Nutr · October 2018 Featured Publication OBJECTIVE: To examine perspectives on food access among low-income families participating in a cost-offset community-supported agriculture (CO-CSA) programme. DESIGN: Farm Fresh Foods for Healthy Kids (F3HK) is a multicentre randomized intervention trial a ... Full text Link to item Cite

High School Cardiac Emergency Response Plans and Sudden Cardiac Death in the Young.

Journal Article Prehosp Disaster Med · June 2017 UNLABELLED: Introduction Sudden cardiac death (SCD) is responsible for 5%-10% of all deaths among children 5-19 years-of-age. The incidence of SCD in youth in Michigan (USA) and nationwide is higher in racial/ethnic minorities and in certain geographic are ... Full text Link to item Cite

Availability of Automated External Defibrillators in Public High Schools.

Journal Article J Pediatr · May 2016 Featured Publication OBJECTIVES: To assess automated external defibrillator (AED) distribution and cardiac emergency preparedness in Michigan secondary schools and investigate for association with school sociodemographic characteristics. STUDY DESIGN: Surveys were sent via ele ... Full text Link to item Cite

Family History of Sudden Cardiac Death of the Young: Prevalence and Associated Factors.

Journal Article Healthcare (Basel) · November 9, 2015 Featured Publication Sudden cardiac death of the young (SCDY) is a devastating event for families and communities. Family history is a significant risk factor for this potentially preventable cause of death, however a complete and detailed family history is not commonly obtain ... Full text Link to item Cite

Efficacy and safety of dutasteride in patients with spinal and bulbar muscular atrophy: a randomised placebo-controlled trial.

Journal Article Lancet Neurol · February 2011 Featured Publication BACKGROUND: Spinal and bulbar muscular atrophy (SBMA) is caused by polyglutamine expansion in the androgen receptor, which results in ligand-dependent toxicity. Animal models have a neuromuscular deficit that is mitigated by androgen-reducing treatment. We ... Full text Link to item Cite