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Indigenous cultures recognized fluid and third-gender roles, such as the Navajo nádleehí and the Zuni lhamana , since pre-colonial times. Contemporary Culture and Contributions

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Transgender individuals often experience high rates of HIV infection, a lack of gender-affirming primary care, and elevated rates of suicide attempts. a lack of gender-affirming primary care

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The community encompasses a wide range of identities and expressions of gender and sexual orientation.