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However, it always referred back to the original citations to evaluate the evidence. Recognizing that academic journals differ in their publication criteria and the rigor of their peer-review process, the committee gave the greatest weight to papers published in the most authoritative journals. Intersectionality encompasses a set of foundational claims and organizing principles for understanding social inequality and its relationship to individuals' marginalized status based on such dimensions as race, ethnicity, and social class Dill and Zambrana, ; Weber, Transsexual people can seek medical interventions, such as hormones and surgery, to make their bodies fit as much as possible with their preferred gender. They also face enormous difficulty blending into the LGBT community once they recognize their gender and sexual identity. Whether gay, straight, bisexual, or just not sure, almost everyone has questions about physically maturing and about sexual health — like if certain body changes are "normal," what's the right way to behave, or how to avoid sexually transmitted infections STIs. It's not always easy to find somebody to talk to.

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This estrangement can increase the risk of depressive symptoms among sexual minority males [ 8 ].

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Sexual Attraction and Orientation

This lack of communication is responsible for the poor therapeutic alliance, lack of appropriate illness-related education, inadequate scheduled screening for communicable diseases, and inadequate interventions to prevent STDs [ 26 ]. People who wish to transition often start by expressing their gender identity in situations where they feel safe. Cross-dressers sometimes wear clothes considered appropriate to a different gender. Lesbian, gay, bisexual, and transgender health. Transgender people may have the body of one gender, but feel that they are the opposite gender, like they were born into the wrong type of body. Each of the above four frameworks provides conceptual tools that can help increase our understanding of health status, health needs, and health disparities in LGBT populations. Sexual stigma and sexual prejudice in the United States:

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