Christine Gray
Assistant Research Professor of Global Health
Appointment:
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Christine Gray
Assistant Research Professor of Global Health
Dr. Christine (Chris) Gray is a social epidemiologist and assistant research professor in the Center for Health Policy and Inequalities Research (CHPIR) in the Duke Global Health Institute (DGHI). Broadly, her research examines the role of social-environmental structures that drive disparities in mental health and well-being in vulnerable populations, including orphaned children, sexual and gender minorities, and communities harmed by discriminatory practices. Dr. Gray’s work integrates implementation science with epidemiologic methods to inform research, policy, and practice.
Dr. Gray’s current work includes both global and local projects, primarily funded by NIH. She is leading a study (SAGE) in western Kenya to examine sustainment and generalizability of a mental health intervention for children experiencing traumatic stress that was implemented in 40 primary schools and communities. She has worked extensively on the parent implementation effectiveness study (BASIC) and an ongoing, 15-year longitudinal cohort study (POFO) of orphaned and separated children in five countries (Cambodia, Ethiopia, India, Kenya, and Tanzania) to understand a range of experiences, behaviors, and outcomes. Her projects also include the SMILE study, which is establishing multi-country longitudinal cohorts of sexual and gender minorities to identify specific mental health intervention targets, and a feasibility study in North Carolina to understand sampling and recruitment of SGM for mental health studies. Finally, Dr. Gray has long-standing collaborations with the Environmental Protection Agency focused on place-based equity research, including current work on the role of gentrification in understanding how historical redlining impacts present day health outcomes.
Prior to her doctoral studies, Dr. Gray 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 worked at the Center for the Study of Traumatic Stress at the Uniformed Services University of the Health Sciences. 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.
Publications
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McRell AS, Seay KD, Gray CL, Grace B, Levkoff SE, Hobbie A, et al. Maltreatment, social support, and mental well-being: A longitudinal observation study of youth in five low- and middle-income countries. Child abuse & neglect. 2026 Aug;178:108118.Purnell C, Yac J, Merida B, Weyer-Johnson L, Gray CL, Huynh HV, et al. Examining the Association Between Violence and PrEP Use Among Indigenous Gay and Bisexual Men in Guatemala. AIDS and behavior. 2026 Jul;Dahiya P, Johnson C, AlRasheed R, Gray CL, Meza R, Whetten K, et al. Organization-level determinants for low secondary traumatic stress in lay counselors delivering trauma-focused cognitive behavioral therapy in Kenya. PLOS global public health. 2026 Jan;6(5):e0006360.Johnson C, AlRasheed R, Gray C, Triplett N, Mbwayo A, Weinhold A, et al. Uncovering determinants of perceived feasibility of TF-CBT through coincidence analysis. Implementation research and practice. 2024 Jan;5:26334895231220276.
See more publications at Scholars@Duke
