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A transgender identity is not dependent upon medical procedures. Community-based Strategies. Only a small fraction of all groups describe their sexual orientation or gender identity as a negative factor. Chapter 1, Demographic Portrait and Research Challengesexamines the demographic profile of lesbian, gay, bisexual and transgender adults surveyed by the Pew Research Center and other prominent research organizations. Further, ACOG does not endorse any commercial products that may be advertised or available from these organizations or on these web sites.

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It also chronicles the ways in which LGBT adults have experienced discrimination in their own lives and looks at the extent to which they believe major institutions in this country are accepting of them.

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American sample U. When asked in an open-ended question to name the national public figures most responsible for advancing LGBT rights, President Barack Obama, who announced last year that he had changed his mind and supports gay marriage, tops the list along with comedian and talk show host Ellen DeGeneres, who came out as a lesbian in and has been a leading advocate for the LGBT population ever since then. In both country settings, attitudes were more positive among females and varied by religious denomination; lower levels of parental education and being born outside Canada or Belgium were associated with more negative attitudes.

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While the Netherlands may indeed compare favorably to the U.

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