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The overlapping effects of gender identity with race or class. For example, Black transgender individuals often face higher rates of unemployment and discrimination than White trans individuals.

: "Trans" is an accepted shorthand, while "Queer" has been widely reclaimed by younger generations as a positive, inclusive label for the whole community. Cultural Competence in the Care of LGBTQ Patients - NCBI naked latino shemales

: Advocates fight for gender-affirming care—including hormones and therapy—which major health organizations recognize as essential healthcare. The overlapping effects of gender identity with race

: The term "transgender" emerged in the 1960s to distinguish gender identity from sexual orientation. It replaced older, often stigmatizing terms like "transsexual" or "transvestite" to become the preferred umbrella term. Cultural Competence in the Care of LGBTQ Patients

People who do not identify strictly as male or female; this is a common identity within the trans umbrella.

: Use "transgender" as an adjective (e.g., "a transgender person") rather than a noun ("a transgender").

Using respectful language is a cornerstone of modern LGBTQ culture: