F. Hunter McGuire, MPH

Hey

Social Epidemiologist & Mental Health Services Researcher

PhD Candidate, Washington University in St. Louis

Research Interests


Mental health and access to treatment

My research documents and seeks to explain the population-level drivers of mental health disparities as well as barriers/facilitators to mental health services. Currently, my work focuses on the social determinants of eating disorders and differential access to eating disorder treatment across population subgroups.



LGBTQ+ health

I'm interested the impact of structural factors (e.g., laws/policies, non-discrimination protections) on the mental health status of LGBTQ+ communities. I use multilevel and intersectional modeling approaches to identify intervention targets that promote/inhibit positive mental health among LGBTQ+ people from youth to older age.



Quantitative methods for intersectionality

With large, US nationally-representative data sets, I explore and document health disparities across multiple dimensions of social position, including race/ethnicity, gender, sexual orientation, and weight status. I'm interested in the development/adaptation of statistical methods to better account for the tenets of intersectionality theory.

Recent work:

  • Incorporating complex sample survey weights with Bayesian methods to estimate the prevalence and population distribution of depression among US adults at the intersection of race/ethnicity, gender, and sexual orientation.


    • Systems science

    I use systems science methods (e.g., agent-based modeling, system dynamics) to describe complex system behavior (e.g., nonlinearity, feedback loops) and identify leverage points to reduce mental health outcome and treatment disparities.

    Recent work:

  • Building a system dyanmics model of the mental health service use cascade among men with eating disorders and simulating different intervention opportunities.
  • Using agent-based models to simulate interventions promoting evidence-based policymaking in state mental health agencies.


    • Publications


    • Compte, E.J., McGuire, F.H., Brown, T.A., Lavender, J.M., Murray, S.B., Capriotti, M.R., Flentje, A., Lubensky, M.E., Lunn, M.R., Obedin-Maliver, J. & Nagata, J.M. (2023). Investigating the factor structure and measurement invariance of the eating disorder examination questionnaire (EDE-Q) among cisgender gay men and lesbian women from the United States. Journal of Eating Disorders, 11, 164. https://doi.org/10.1186/s40337-023-00880-2

    • Bukowski, A., Smith, J.S., Wheeler, S.B., Sanusi, B., McGuire, F.H., Zeno, E., Des Marais, A.C., Barclay, L., Hudgens, M.G., Jackson, S., & Brewer N.T. (2023). Cervical Cancer Screening Knowledge, Perceptions, and Behaviors in a Multiracial Cohort of Low-Income, Underscreened Women in North Carolina. Journal of Women's Health, 32(9), 970-981. https://doi.org/10.1089/jwh.2022.0412

    • McGuire, F.H., Goldbach, J.T., Senese IV, J.G., Cabrera Jr., J.R., Schrager, S.M., & Duncan, A.E. (2023). Longitudinal association of homonegative school climate with body dysmorphic disorder among cisgender sexual minority adolescents: Testing mediation through proximal minority stressors. Body Image, 45, 86-93. https://doi.org/10.1016/j.bodyim.2023.02.007

    • Walsh-Bailey, C., Gilbert, A., Thembekile, S., Sandler, B., Baumann, A.A., Bradley, C.D., McLoughlin, G.M., McGuire, F.H., Fort, M.P., & Tabak, R.G. (2023). Protocol for a scoping review of health equity frameworks and models applied in empirical studies of chronic disease prevention and control. Systematic Reviews, 12, 83. https://doi.org/10.1186/s13643-023-02240-2

    • Nagata, J.M., Compte, E.J., McGuire, F.H., Brown, T.A., Lavender, J.M., Murray, S.B., Capriotti, M.R., Flentje, A., Lubensky, M.E., Lunn, M.R., & Obedin-Maliver, J. (2023). Investigating the factor structure and measurement invariance of the Eating Disorder Examination-Questionnaire (EDE-Q) in a community sample of gender minority adults from the United States. International Journal of Eating Disorders, 56(8), 1570-1580. https://doi.org/10.1002/eat.23978

    • Zhong, Y., McGuire, F.H., Duncan, A.E. (2022). Who is trying to lose weight? Trends and prevalence in past-year weight loss attempts among US adults 1999-2018 at the intersection of race/ethnicity, gender, and weight status. Eating Behaviors, 47, 101682. https://doi.org/10.1016/j.eatbeh.2022.101682

    • Nagata, J.M., Compte, E.J., McGuire, F.H., Lavender, J.M., Brown, T.A., Murray, S.B., Flentje, A., Capriotti, M.R., Lubensky, M.E., Lunn, M.R., & Obedin-Maliver, J. (2022). Psychometric validation of the Muscle Dysmorphic Disorder Inventory (MDDI) among transgender men. Body Image, 42, 43-49. https://doi.org/10.1016/j.bodyim.2022.05.001

    • Nagata, J.M., McGuire, F.H., Lavender, J.M., Brown, T.A., Murray, S.B., Greene, R., Compte, E.J., Flentje, A., Lubensky, M.E., Obedin-Maliver, J., & Lunn, M.R. (2022). Appearance and performance-enhancing drugs and supplements, eating disorders, and muscle dysmorphia among gender minority people. International Journal of Eating Disorders, 55, 678–687. https://doi.org/10.1002/eat.23708

    • Nagata, J.M., McGuire, F.H., Lavender, J.M., Brown, T.A., Murray, S.B., Compte, E.J., Flentje, A., Lubensky, M.E., Obedin-Maliver, J., & Lunn, M.R. (2022). Appearance and performance-enhancing drugs and supplements (APEDS) use: Lifetime use and associations with eating disorder and muscle dysmorphia symptoms among cisgender sexual minority people. Eating Behaviors, 44, 101595. https://doi.org/10.1016/j.eatbeh.2022.101595

    • Combs, T.B., Nelson, K.L., Luke, D.A., McGuire, F.H., Cruden, G., Henson, R.M., Adams, D., Hoagwood, K., & Purtle, J. (2022). Simulating the role of knowledge brokers in policymaking in state agencies: An agent-based model. Health Services Research, 57(S1), 122-136. https://doi.org/10.1111/1475-6773.13916

    • McGuire, F.H., Carl, A., Woodcock, L., Frey, L., Dake, E., Matthews, D.D., Russell, K., & Adkins, D. (2021). Differences in patient and parent reports of depression and anxiety symptoms in a clinical sample of transgender and gender diverse youth. LGBT Health, 8(6), 404-411. https://doi.org/10.1089/lgbt.2020.0478

    • Nagata, J.M., Compte, E.J., McGuire, F.H., Lavender, J.M., Brown, T.A., Murray, S.B., Flentje, A., Capriotti, M.R., Lubensky, M.E., Lunn, M.R., & Obedin-Maliver, J. (2021). Community norms of the Muscle Dysmorphic Disorder Inventory (MDDI) among gender minority populations. Journal of Eating Disorders, 9(1), 87. https://doi.org/10.1186/s40337-021-00442-4

    • McGuire, F.H., Andre, K., Bradsher, M.L., Harrison, D., Sterling, R.K., Reddy, K.R., Serper, M., Golin, C.E., Reau, N., Lim, J.K., Nelson, D.R., Sarkar, S., & Evon, D.M. (2021). Willingness to participate in health and medical research among Black patients with liver disease: a national cross-sectional study. Journal of Viral Hepatitis, 28(7),982-993. https://doi.org/10.1111/jvh.13493

    • Swezey, T., McGuire, F.H., Hurley, P., Panhuis, J., Goldstein, K., Chuck, T., Perry, B., Dombeck, C., Brennan, C., Phrsai, N., & Corneli, A. (2020). More than a box to check: sponsor and investigator perspectives on making GCP training relevant. Contemporary Clinical Trials Communications, 19, 100606. https://doi.org/10.1016/j.conctc.2020.100606

    • Rohner, E., McGuire, F.H., Li, Q., Miele, K., Desai, S.A., Schmitt, J., Knittel, A., Nelson, J., Edelman, C., Sivaraman, V., Baker, A., Romocki, L.S., Rahangdale, L., & Smith, J.S. (2020). Racial and ethnic differences in acceptability of urine and cervico-vaginal sample self-collection for HPV-based cervical cancer screening. Journal of Women’s Health, 29(7), 971–979. https://doi.org/10.1089/jwh.2019.8132

    • Perry, B., Geoghegan, C., Lin, L., McGuire, F.H., Nido, V., Grabert, B., Morin, S.L., Hallinan, Z.P., & Corneli, A. (2019). Patient preferences for using mobile technologies in clinical trials. Contemporary Clinical Trials Communications, 15, 100399. https://doi.org/10.1016/j.conctc.2019.100399

    • Vulimiri, M., Saunders, R., Bleser, W., Madanay, F., Moseley, C., McGuire, F.H., Ubel, P., McKethan, A., McClellan, M., & Wong, C. (2019). Engaging beneficiaries in Medicaid programs that incentivize health promoting behaviors. Health Affairs, 38(3), 431-439. https://doi.org/10.1377/hlthaff.2018.05427

    Experience


    Education

    PhD in Public Health Sciences, Washington University in St. Louis (Aug. 2020 - present; Expected: May 2024)

    MPH in Health Behavior, University of North Carolina at Chapel Hill (May 2020)

    BA in Public Policy, University of North Carolina at Chapel Hill (May 2016)

    Skills

  • Programming languages: R, Python, SAS, Stan, Stata
  • Methods: Bayesian statistics, complex sample surveys, multilevel & longitudinal modeling, propensity score analysis, network analysis, system dyanmics, structural equation modeling, missing data imputation

    • Get in touch

      If you're interested in learning more about my research or would like to collaborate on a project, feel free to reach out and connect! I'm currently open to collaborations in the areas of LGBTQ+ health, mental health, quantitative intersectional methods, causal inference with observational data, and systems science methods.

    • Email me!

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