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: Avoid slurs like "shemale." Use "transgender woman" or the person's preferred name and pronouns [1, 17].

: Transgender youth are at a higher risk for bullying, substance use, and suicide if they lack support from family or school communities [10, 12]. Guidelines for Respectful Communication how is shemale

: Approximately 19% of transgender people report being refused care due to their identity [22], and many experience "gatekeeping" or misgendering in medical settings [15]. : Avoid slurs like "shemale

: Understand that being transgender is about gender identity (one's internal sense of self), which is distinct from sex assigned at birth [33]. : Understand that being transgender is about gender

Transgender women often navigate a complex landscape of safety and visibility [30].

: Transgender individuals, particularly women of color, face higher rates of violence and trauma, which directly impacts their health outcomes [17, 20].

: Center reports on the individual's humanity rather than just their transition or physical appearance [1, 14].