Muñoz Ercio, Saavedra Melanie, Sansone Dario
Inter-American Development Bank, Washington, DC 20577, USA.
Department of Economics, Universidad de Chile, Santiago 8330015, Chile.
PNAS Nexus. 2025 Apr 19;4(5):pgaf126. doi: 10.1093/pnasnexus/pgaf126. eCollection 2025 May.
This paper reports socioeconomic and health outcomes for individuals born with sex variations (i.e. intersex individuals) in Mexico based on large, nationally representative survey data collected between 2021 and 2022 ( = 44,189). The sample includes 608 intersex respondents, corresponding to a weighted estimate of ∼1.6% of individuals aged 15-64 years, i.e. almost 1.3 million intersex people. The main empirical analyses document substantial negative outcomes for intersex individuals. There are significant disparities in mental, physical, and sexual health between intersex respondents and the endosex population, including higher rates of bullying during childhood (26 vs. 15% for endosex male and female individuals), harassment and violence in adulthood (20 vs. 10% for endosex male individuals), and mental health issues (46 vs. 34% for endosex male individuals). Additionally, intersex individuals have lower educational levels and are more likely to experience workplace rejection, exclusion, and discrimination and to face substantial barriers in healthcare environments.
本文基于2021年至2022年收集的大规模、具有全国代表性的调查数据(样本量 = 44,189),报告了墨西哥出生时具有性别差异的个体(即双性人个体)的社会经济和健康状况。样本包括608名双性人受访者,加权估计约占15至64岁个体的1.6%,即近130万双性人。主要实证分析表明双性人个体存在大量负面状况。双性人受访者与生理性别正常人群在心理、身体和性健康方面存在显著差异,包括童年时期更高的欺凌发生率(生理性别正常男性和女性分别为26%和15%)、成年期的骚扰和暴力(生理性别正常男性为20%)以及心理健康问题(生理性别正常男性为46%)。此外,双性人个体受教育程度较低,更有可能在工作场所遭遇拒绝、排斥和歧视,并在医疗环境中面临重大障碍。