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Research shows that access to gender transition services and social support leads to significant improvements in quality of life and self-esteem [12].

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Much of modern pop culture vocabulary—voguing, reading, shade, slay—originates from the , a subculture created almost exclusively by Black and Latino transgender women and gay men in 1980s New York. Rejected by their biological families, they created "houses" (families) where they competed in "balls" for trophies and recognition. Research shows that access to gender transition services