: Due to fear of discrimination, 90% of transgender or nonbinary individuals report taking at least one action to avoid potential mistreatment, such as changing their dress, hiding relationships, or avoiding public spaces [6]. Health and Mental Wellness

: Cultural roles for transgender people have existed for centuries across various societies, such as the Navajo nádleehi and the Zuni lhamana [36].

: Approximately 2.8 million people in the U.S. identify as transgender, including 0.8% of adults and 3.3% of youth aged 13–17 [14].