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Transgender adults are diverse in their sexual orientations: approximately 53% identify as bisexual, 28% as gay or lesbian, and 8% as straight.

The LGBTQ+ community today reflects a broad cross-cultural spectrum spanning all races, religious backgrounds, and socioeconomic statuses.

Diverse gender identities have deep roots globally, such as the hijra in South Asia and the koekchuch in 18th-century Siberia.