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Naomi Nichele Duke

Naomi Nichele Duke

Associate Professor of Pediatrics
Pediatrics, General Pediatrics and Adolescent Health
naomi.duke@duke.edu
3116 N. Duke Street, Durham, NC 27704
3116 N. Duke Street, Durham, NC 27704

Selected Publications

Do Children's Mental Health Symptoms Impact Their Access to Unlocked Guns at Home?

Journal Article J Am Acad Child Adolesc Psychiatry · April 23, 2025 OBJECTIVE: To test whether changes in children's and adolescents' mental health symptoms predict changes in their access to unlocked guns at home. METHOD: This study used data from a longitudinal cohort study of 1,420 youth and their parents in the southea ... Full text Link to item Cite

The role of sleep disturbances in the onset and maintenance of psychiatric disorders in childhood and adolescence: A review of subjective and polysomnographic findings.

Journal Article Curr Sleep Med Rep · September 2024 PURPOSE OF REVIEW: To summarize subjective and polysomnographically-measured sleep disturbances in children and adolescents with psychiatric conditions, including anxiety, mood, and neurodevelopmental disorders and high-risk syndromes for psychosis. Eviden ... Full text Link to item Cite

Food insecurity among university students in the United States amidst the COVID-19 pandemic.

Journal Article J Am Coll Health · July 2024 OBJECTIVE: This study reports on food insecurity (FI) amidst the COVID-19 pandemic. PARTICIPANTS AND METHODS: College students in four regions of the US completed the two-item validated Hunger Vital Sign™ screening tool on Qualtrics. RESULTS: FI increased ... 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

Clinician and academic perspectives on expressive arts therapy for refugee children and families: a qualitative study

Journal Article International Journal of Migration Health and Social Care · November 27, 2023 Purpose: The refugee journey is fraught with challenges before, during and after resettlement. There is a critical need for mental health support upon arrival, and refugees face language, cultural and logistical barriers. Arts-based therapies are a promisi ... Full text Cite

Social Support and Breastfeeding Outcomes Among a Racially and Ethnically Diverse Population.

Journal Article Am J Prev Med · March 2023 INTRODUCTION: Social support is a modifiable social determinant of health that shapes breastfeeding outcomes and may contribute to racial and ethnic breastfeeding disparities. This study characterizes the relationship between social support and early breas ... Full text Link to item Cite

Prevalence of food insecurity among students attending four Historically Black Colleges and Universities.

Journal Article J Am Coll Health · January 2023 Objective: This study examined the prevalence of food insecurity (FI) among students attending Historically Black Colleges and Universities (HBCUs) in the Southeastern United States. Participants: Students attending four HBCUs (N = 351) completed an anonym ... Full text Open Access Link to item Cite

Using geographic information systems to characterize food environments around historically black colleges and universities: Implications for nutrition interventions.

Journal Article J Am Coll Health · April 2022 ObjectiveTo understand the distribution of healthy and unhealthy food stores near historically black colleges and universities (HBCUs). Participants and methods: Using ArcGIS Pro's network analysis tools and ReferenceUSA database, this study characterized ... Full text Open Access 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 Implementation of Farm-to-University Program in Historically Black Colleges and Universities: Assessment of Feasibility and Barriers

Journal Article American Journal of Health Education · January 1, 2022 Background: Farm-to-University (Farm2U) programs make healthy eating accessible, easier, and the default option. Yet, few published studies have focused on Farm2U implementations in Historically Black Colleges and Universities (HBCUs) in conjunction with m ... Full text Cite

The Role of Family Health History in Predicting Midlife Chronic Disease Outcomes.

Journal Article Am J Prev Med · October 2021 INTRODUCTION: The generational relevance for determining disease risk for the leading causes of morbidity and mortality for U.S. adults is a source of debate. METHODS: Data on 12,300 adults (Add Health Study Members) participating in Wave V (2016-2018) of ... Full text Link to item Cite

Adolescent Bariatric Surgery: Racial Disparities in 30-Day Outcomes Using the MBSAQIP from 2015 to 2018.

Journal Article Obes Surg · August 2021 INTRODUCTION: Racial disparities exist in obesity prevalence and obesity-related comorbid conditions among youth. We hypothesized that non-White adolescents would have poorer 30-day outcomes after adolescent bariatric surgery. METHODS: Adolescent patients ... Full text Link to item Cite

Adolescent-Reported Food Insecurity: Correlates of Dietary Intake and School Lunch Behavior.

Journal Article Int J Environ Res Public Health · June 21, 2021 Much of what is known about food insecurity (FI) experiences for young people is based on caregiver report. As such, our understanding of relationships between youth FI and dietary intake (DI) may be limited, particularly among adolescents who often eat aw ... Full text Link to item Cite

Like Parent, Like Child: Intergenerational Patterns of Cardiovascular Risk Factors at Midlife.

Journal Article J Adolesc Health · March 2021 PURPOSE: We aimed to assess the prevalence of four cardiovascular risk factors (obesity, diabetes, excessive alcohol intake, and cigarette smoking) for parents and their adult children at the same approximate midlife age. We also evaluated associations of ... Full text Link to item Cite

Food Insecurity and Prediabetes among Adolescents Taking a School-based Survey.

Journal Article Am J Health Behav · March 1, 2021 Objectives: Food insecurity (FI) is a correlate of poor health throughout the life course. This study examines relationships between FI and reported prediabetes among middle-high school students taking a school-based survey. Methods: Data are from the 2019 ... Full text Link to item Cite

Youth Beverage Intake and Reported Prediabetes: Choice and Frequency Matter

Journal Article Journal of Pediatric Health Care · March 2021 Full text Cite

Care and Interventions for Displaced Adolescents

Chapter · January 1, 2021 Adolescence is a unique time of growth and development. The migration experience presents additional contextual demands that may reshape developmental processes and milestones. Interventions for adolescents need to take into consideration their development ... Full text Cite

Adolescent Adversity, School Attendance and Academic Achievement: School Connection and the Potential for Mitigating Risk.

Journal Article J Sch Health · August 2020 BACKGROUND: Adverse childhood experiences (ACEs) may be particularly impactful for the learning environment. The purpose of this study was to examine relationships between ACEs and 3 education-related outcomes, no plan to graduate, past month unexcused abs ... Full text Link to item Cite

Institutional Factors Associated With Burnout Among Assistant Professors.

Journal Article Teach Learn Med · 2020 Phenomenon: Factors related to individual circumstance and organizational climate are contributing to a worsening burnout problem among providers in healthcare settings. In the academic health center, junior faculty may be at particular risk for burnout gi ... Full text Link to item Cite

Using Telehealth to Disseminate Primary, Secondary, and Tertiary CVD Interventions to Rural Populations.

Journal Article Curr Hypertens Rep · November 7, 2019 PURPOSE OF REVIEW: This study aims to review the evidence on telehealth interventions in rural communities that use primary, secondary, or tertiary strategies for the prevention and management of cardiovascular disease (CVD). RECENT FINDINGS: Studies focus ... Full text Link to item Cite