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They share the fact that their sexual orientation is not exclusively heterosexual. Understanding race, class, gender, and sexuality: Immunization and Infectious Diseases. The majority of individuals affected by disorders of sex development do not face challenges related to sexual orientation and gender identity, although homosexuality, gender role nonconformity, and gender dysphoria defined as discomfort with the gender assigned to one at birth [see Chapter 2 ] are somewhat more prevalent among this population compared with the general population Cohen-Kettenis and Pfafflin, Pervasive trauma exposure among US sexual orientation minority adults and risk of posttraumatic stress disorder. With respect to LGBT health in particular, the social ecology model is helpful in conceptualizing that behavior both affects the social environment and, in turn, is affected by it. The examples and perspective in this section may not include all significant viewpoints.
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