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while sociological research in Australia, a country with a third 'X' sex classification, shows that 19% of people born with atypical sex characteristics selected an "X" or "other" option, while 52% are women, 23% men and 6% unsure.

The Asia Pacific Forum of National Human Rights Institutions states that the legal recognition of intersex people is firstly about access to the same rights as other men and women, when assigned male or female; secondly it is about access to administrative corrections to legal documents when an original sex assignment is not appropriate; and thirdly it is not about the creation of a third sex or gender classification for intersex people as a population but it is, instead, about self-determination.

In Africa, a woman can be recognized as a “female husband” who enjoys all of the privileges of men and is recognized as such, but whose femaleness, while not openly acknowledged, is not forgotten either.

The hijras, of India, are one of the most recognized and socially accepted groups of third genders.

The term third is usually understood to mean "other"; some anthropologists and sociologists have described fourth, genders.

Biology determines whether a human's chromosomal and anatomical sex is male, female, or one of the uncommon variations on this sexual dimorphism that can create a degree of ambiguity known as intersex.

Nearly half of those interviewed were healers or in the medical profession.

A majority of them, again like their Eastern counterparts, were artistic enough to make a living from their abilities.

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In recent years, some Western societies have begun to recognize genderqueer or non-binary identities.This is seen as a mediation between the spirit and mundane worlds.It is seen as a positive and is almost revered in most Eastern cultures, whereas in Western cultures, people who don’t conform to heteronormative ideals are often seen as sick, disordered, or insufficiently formed.The concept is most likely to be embraced in the modern LGBT or queer subcultures, or in ethnic minority cultures that exist within larger Western communities such as the North American Indigenous cultures that have roles for Two Spirit people.While mainstream western scholars, notably anthropologists who have tried to write about Native American and South Asian "gender variant" people, have often sought to understand the term "third gender" solely in the language of the modern LGBT community, other scholars especially Indigenous scholars, stress that their lack of cultural understanding and context has led to widespread misrepresentation of third gender people.

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