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Published online Aug Health care providers' comfort with and barriers to care of transgender youth. Nora F. Click on each issue for more information and to see where the state fits into the national landscape. Lucas K.

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Sexual or romantic attraction is not restricted by sex assigned at birth, gender, or gender identity.

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When students themselves began organizing in the s, many school administrators across the US unsuccessfully fought to restrict the formation and operation of gay-straight alliances GSAs in schools, arguing that the clubs were inappropriate for youth. Many teachers avoided or silenced any discussion of LGBT issues in schools. Students attributed this in part to a decrease in anti-LGBT attitudes among peers, both as a generational shift and among their cohort as they aged through high school. Concerns about backlash or retaliation could prevent those with firsthand knowledge of LGBT issues, who might function as role models for LGBT youth, to remain closeted or keep their distance from the GSA.

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