Beyond stereotypes: an autoethnographic journey of an Emirati woman through educational stigma

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ABSTRACT As the United Arab Emirates (UAE) has undergone rapid socio-economic development post-oil boom, it has cultivated a globalized educational landscape where Emirati culture intersects with international influences. Despite the privileges often associated with Emirati nationals, this autoethnography delineates how nationality and gender can equally function as sources of alienation and stigmatization. This autoethnography explores the experience of a female Emirati student in international schools within the UAE, focusing on the stigmatization and stereotyping that is encountered. By detailing vignettes, the study provides an insider perspective on the cultural dissonance and bias faced by Emirati women in expatriate-dominated educational settings. This study contributes to the broader discourse on the inequality in educational experiences and the importance of integrating cultural awareness into educational institutions in the UAE.

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Introduction: Cardiovascular disease was the leading cause of death among women in the United Arab Emirates (UAE) in 2010. Heart attacks usually occur at an older age in women compared to men, consequently the atypical symptoms of heart disease that often appear among women are masked by symptoms of other chronic diseases. Non-recognition of symptoms could explain the reason behind delays in seeking healthcare and the high mortality following a heart attack among Emirati women. This study seeks to a) highlight the awareness of heart diseases among Emirati women and b) to understand Emirati women’s healthcare seeking behaviour. Methods: A cross sectional, descriptive study was conducted using a survey instrument adapted from the American Heart Association National survey. A convenience sample of 676 Emirati women between the ages of 18-55 years completed the questionnaire. Results: The study showed low levels of awareness of heart disease and associated risk factors in Emirati women; only 19.4% participants were found to be aware of heart diseases. Awareness levels were highest in Dubai (OR 2.18, p<0.05) among all the other emirates and in the 18-45 years age group (OR 2.74, p<0.05). Despite low awareness levels, women paradoxically perceived themselves to be self-efficacious in seeking healthcare. Interestingly, just 49.1% Emirati women believed that good quality and affordable healthcare was available in the UAE. Only 28.8% of the participants believed there were sufficient female doctors to respond to health needs of women in UAE. Furthermore, only 36.7% Emirati women chose to be treated in the UAE over treatment in other countries. Conclusion: Emirati women clearly lack knowledge on severity and vulnerability to heart disease in the region that is essential to improve cardiovascular related health outcomes. This study has identified the need for wider outreach that focuses on gender and age specific awareness on heart disease risks and symptoms. The study has also highlighted potential modifiable barriers in seeking healthcare that should be overcome to reduce morbidity and mortality due to heart disease among national women of UAE.

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BackgroundCardiovascular disease was the leading cause of death among women in the United Arab Emirates (UAE) in 2010. Heart attacks usually happen in older women thus symptoms of heart disease may be masked by symptoms of chronic diseases, which could explain the delay in seeking health care and higher mortality following an ischaemic episode among women. This study seeks to a) highlight the awareness of heart diseases among Emirati women and b) to understand Emirati women’s health care seeking behaviour in UAE.MethodA cross sectional, descriptive study was conducted using a survey instrument adapted from the American Heart Association National survey. A convenience sample of 676 Emirati women between the ages of 18–55 years completed the questionnaire.ResultsThe study showed low levels of awareness of heart disease and associated risk factors in Emirati women; only 19.4% participants were found to be aware of heart diseases. Awareness levels were highest in Dubai (OR 2.18, p < 0.05) among all the other emirates and in the 18–45 years age group (OR 2.74, p < 0.05). Despite low awareness levels, women paradoxically perceived themselves to be self-efficacious in seeking health care. Interestingly, just 49.1% Emirati women believed that good quality and affordable health care was available in the UAE. Only 28.8% of the participants believed there were sufficient female doctors to respond to health needs of women in UAE. Furthermore, only 36.7% Emirati women chose to be treated in the UAE over treatment in other countries.ConclusionEmirati women clearly lack the knowledge on severity and vulnerability to heart disease in the region that is essential to improve cardiovascular related health outcomes. This study has identified the need for wider outreach that focuses on gender and age specific awareness on heart disease risks and symptoms. The study has also highlighted potential modifiable barriers in seeking health care that should be overcome to reduce morbidity and mortality due to heart disease among national women of UAE.

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