Background: The phenomenon of the māhū and raerae of French Polynesia represents a long-standing historical recognition of a third gender status that makes space for a level of respect and integration within a broader society. Raerae is a more recent type of māhū who more overtly express themselves as women in society. Aim: This article describes the gender identity, gender expression, sexual behavior, and sexual orientation of gender diverse individuals in French Polynesia, including the Society, Tuamotus, and the Marquesas Islands. By studying cultures with protective factors, this research seeks to contribute to the development of effective approaches to sexual and gender health promotion, including HIV/STI prevention. Method: Our analysis is based on ethnographic work, field observation, in depth interviews, and survey data. The focus of this study was specifically on the māhū and raerae (gender diverse individuals). Results: We collected data from ten islands in French Polynesia and included 47 participants. The results include demographics, information about self-identification, gender identity development and family and social acceptance, current gender identity, expression, early and current sexual experiences, relationships, involvement in sex work, and health status, including HIV risk and status. Conclusion: While not a utopia for gender variant individuals living in French Polynesia, this cultural recognition serves as a protective factor as compared to other cultures that greatly stigmatize transgender and gender diverse individuals or those who transgress socially defined roles for men.
Keywords: French Polynesia gender; Gender diversity; gender liminality; sexuality.
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