Honors Program

University Honors

Date of Award


Thesis Professor(s)

Julia Dodd

Thesis Professor Department


Thesis Reader(s)

Stacey Williams


The current study is part of a broader study called the Women’s Reproductive Health Survey (WRHS) which aimed to examine various aspects of women’s life experiences. This study examined the moderating effect of rurality on several factors of healthcare in a sample of women between the ages of 18 and 50. Self-rated health (SRH) was hypothesized to predict healthcare satisfaction, healthcare adherence, and medical mistrust. Furthermore, rurality was hypothesized to weaken the relationships between SRH and healthcare satisfaction and adherence; it was further hypothesized to exacerbate the relationship between SRH and medical mistrust. A survey containing a single-item measure of SRH and rurality, a seven-item measure of medical mistrust, and an exploratory measure of both healthcare satisfaction and adherence, was uploaded to the Internet forum Redditt. Participants received informed consent and monetary compensation for their time. Bivariate correlations and moderation analysis was conducted on the resulting data. Self-rated health was found to be a significant predictor of healthcare satisfaction, healthcare adherence, and medical mistrust. Rurality was a nonsignificant moderator. Healthcare systems may consider enhancing patient portfolios with a measure of SRH. This may have implications for improved quality of care and health outcomes. Limitations within the study included the participant demographics, which were mostly White and of a high socioeconomic status, as well as the broader survey from which this study originated. Future studies may consider comparing populations from a high socioeconomic status to populations from a low socioeconomic status.


East Tennessee State University

Document Type

Honors Thesis - Open Access

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.


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