Archives of Sexual Behavior

, Volume 43, Issue 6, pp 1035–1042

Hurdling Over Sex? Sport, Science, and Equity

  • Nathan Q. Ha
  • Shari L. Dworkin
  • María José Martínez-Patiño
  • Alan D. Rogol
  • Vernon Rosario
  • Francisco J. Sánchez
  • Alison Wrynn
  • Eric Vilain
Guest Essay

DOI: 10.1007/s10508-014-0332-0

Cite this article as:
Ha, N.Q., Dworkin, S.L., Martínez-Patiño, M.J. et al. Arch Sex Behav (2014) 43: 1035. doi:10.1007/s10508-014-0332-0

Abstract

Between 1968 and 1999, the International Olympic Committee (IOC) required all female athletes to undergo genetic testing as part of its sex verification policy, under the assumption that it needed to prevent men from impersonating women and competing in female-only events. After critics convinced officials that genetic testing was scientifically and ethically flawed for this purpose, the IOC replaced the policy in 1999 with a system allowing for medical evaluations of an athlete’s sex only in cases of “reasonable suspicion,” but this system also created injustice for athletes and stoked international controversies. In 2011, the IOC adopted a new policy on female hyperandrogenism, which established an upper hormonal limit for athletes eligible to compete in women’s sporting events. This new policy, however, still leaves important medical and ethical issues unaddressed. We review the history of sex verification policies and make specific recommendations on ways to improve justice for athletes within the bounds of the current hyperandrogenism policy, including suggestions to clarify the purpose of the policy, to ensure privacy and confidentiality, to gain informed consent, to promote psychological health, and to deploy equitable administration and eligibility standards for male and female athletes.

Keywords

Sex testingGender verificationInternational Olympic CommitteeSportsEthics

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Nathan Q. Ha
    • 1
  • Shari L. Dworkin
    • 2
  • María José Martínez-Patiño
    • 3
  • Alan D. Rogol
    • 4
  • Vernon Rosario
    • 5
  • Francisco J. Sánchez
    • 6
  • Alison Wrynn
    • 7
  • Eric Vilain
    • 1
    • 8
  1. 1.Institute for Society and GeneticsUniversity of California Los AngelesLos AngelesUSA
  2. 2.Department of Social and Behavioral Sciences, School of NursingUniversity of California San FranciscoSan FranciscoUSA
  3. 3.Faculty of Science Education and SportUniversity of VigoPontevedraSpain
  4. 4.Department of PediatricsUniversity of Virginia School of MedicineCharlottesvilleUSA
  5. 5.Department of Psychiatry & Biobehavioral Sciences, David Geffen School of MedicineUniversity of California, Los AngelesLos AngelesUSA
  6. 6.Department of Counseling PsychologyUniversity of Wisconsin-MadisonMadisonUSA
  7. 7.Department of KinesiologyCalifornia State University, Long BeachLong BeachUSA
  8. 8.Department of Human Genetics, David Geffen School of MedicineUniversity of California, Los AngelesLos AngelesUSA