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: Transgender people, particularly youth and women of color, experience elevated rates of assault and bullying.

: Newer generations are increasingly using expansive labels like "nonbinary," "pansexual," and "genderqueer" to describe their experiences.

: Fears of confidentiality breaches or outright refusal of care often lead to delayed medical treatment. Evolving Cultural Expressions and Identity

: Many transgender people report having to "educate" their own doctors on their health needs.

: Many transgender individuals feel a sense of pride in identifying with the broader culture, which aids in their personal identity development. Distinctive Challenges for the Transgender Community

: LGBTQ culture is often described as a culture of "survival," where members create "chosen families" to replace or supplement unsupportive biological ones.