An umbrella term for people whose gender identity and/or gender expression differs from what is typically associated with the sex they were assigned at birth. People under the transgender umbrella may describe themselves using one or more of a wide variety of terms - including transgender. Some of those terms are defined below. Use the descriptive term preferred by the person. Many transgender people are prescribed hormones by their doctors to bring their bodies into alignment with their gender identity. Some undergo surgery as well. But not all transgender people can or will take those steps, and a transgender identity is not dependent upon physical appearance or medical procedures.
In Vietnam, currently only a marriage between a man and a woman is recognized. Vietnam's Ministry of Justice began seeking advice on legalizing same-sex marriage from other governmental and non-governmental organizations in April and May 2012, and planned to further discuss the issue at the National Assembly in Spring 2013.[472] However, in February 2013, the Ministry of Justice requested that the National Assembly avoid action until 2014.[473] At a hearing to discuss marriage law reforms in April 2013, deputy minister of health Nguyen Viet Tien proposed that same-sex marriage be made legal immediately.[474]
Masculinization of women and hypermasculinization of men has been a central theme in sexual orientation research. There are several studies suggesting that bisexuals have a high degree of masculinization. LaTorre and Wendenberg (1983) found differing personality characteristics for bisexual, heterosexual and lesbian women. Bisexuals were consistently more masculine than other subjects.[25]
^ Jump up to: a b World Health Organisation (1992) "...Fetishistic transvestism is distinguished from transsexual transvestism by its clear association with sexual arousal and the strong desire to remove the clothing once orgasm occurs and sexual arousal declines...." in ICD-10, Gender Identity Disorder, category F65.1 Archived 2009-04-22 at the Wayback Machine published by the World Health Organisation Archived 2016-07-05 at the Wayback Machine. Retrieved 2007-08-13.

A transvestite is a person who cross-dresses, or dresses in clothes typically associated with the gender opposite the one they were assigned at birth.[57][58] The term transvestite is used as a synonym for the term cross-dresser,[59][60] although cross-dresser is generally considered the preferred term.[60][61] The term cross-dresser is not exactly defined in the relevant literature. Michael A. Gilbert, professor at the Department of Philosophy, York University, Toronto, offers this definition: "[A cross-dresser] is a person who has an apparent gender identification with one sex, and who has and certainly has been birth-designated as belonging to [that] sex, but who wears the clothing of the opposite sex because it is that of the opposite sex."[62] This definition excludes people "who wear opposite sex clothing for other reasons," such as "those female impersonators who look upon dressing as solely connected to their livelihood, actors undertaking roles, individual males and females enjoying a masquerade, and so on. These individuals are cross dressing but are not cross dressers."[63] Cross-dressers may not identify with, want to be, or adopt the behaviors or practices of the opposite gender and generally do not want to change their bodies medically or surgically. The majority of cross-dressers identify as heterosexual.[64]
Some evolutionary psychologists have argued that same-sex attraction does not have adaptive value because it has no association with potential reproductive success. Instead, bisexuality can be due to normal variation in brain plasticity. More recently, it has been suggested that same-sex alliances may have helped males climb the social hierarchy giving access to females and reproductive opportunities. Same-sex allies could have helped females to move to the safer and resource richer center of the group, which increased their chances of raising their offspring successfully.[56]
In the United Kingdom, the Gender Recognition Act 2004 allows a person who has lived in their chosen gender for at least two years to receive a gender recognition certificate officially recognizing their new gender. Because in the United Kingdom marriages were until recently only for mixed-sex couples and civil partnerships are only for same-sex couples, a person must dissolve his/her civil partnership before obtaining a gender recognition certificate, and the same was formerly true for marriages in England and Wales, and still is in other territories. Such people are then free to enter or re-enter civil partnerships or marriages in accordance with their newly recognized gender identity. In Austria, a similar provision requiring transsexual people to divorce before having their legal sex marker corrected was found to be unconstitutional in 2006.[522]
A study of nationwide data from across the United States from January 1999 to December 2015 revealed that the establishment of same-sex marriage is associated with a significant reduction in the rate of attempted suicide among children, with the effect being concentrated among children of a minority sexual orientation, resulting in about 134,000 fewer children attempting suicide each year in the United States.
^ (in French) (in Dutch) Loi du 25 juin 2017 réformant des régimes relatifs aux personnes transgenres en ce qui concerne la mention d’une modification de du sexe dans les actes de l’état civil et ses effets/Wet van 25 juni 2017 tot hervorming van regelingen inzake transgenders wat de vermelding van een aanpassing van de registratie van het geslacht in de akten van de burgerlijke stand en de gevolgen hiervan betreft
Legalizing gay marriage could lead down a "slippery slope," giving people in polygamous, incestuous, bestial, and other nontraditional relationships the right to marry. [10] Glen Lavy, JD, senior counsel with the Alliance Defense Fund, argued in a May 21, 2008 Los Angeles Times op-ed, "The movement for polygamy and polyamory is poised to use the successes of same-sex couples as a springboard for further de-institutionalizing marriage." [11] In Apr. 2013 Slate writer Jillian Keenan wrote: "Just like heterosexual marriage is no better or worse than homosexual marriage, marriage between two consenting adults is not inherently more or less 'correct' than marriage among three (or four, or six) consenting adults." [71] James C. Dobson, Founder and Chairman of Focus on the Family, predicted in 2005 that legalizing same-sex marriage will enable "group marriage," "marriage between daddies and little girls," and "marriage between a man and his donkey." [136]
The Vietnamese Government abolished an administrative fine imposed on same-sex weddings in 2013.[475] The policy was enacted on 11 November 2013. The 100,000–500,000 VND ($24USD) fine will be abolished. Although same-sex marriages are not permitted in Vietnam, the policy will decriminalize the relationship, habitual privileges such as household registry, property, child raising, and co-habitual partnerships are recognized.[476]

American Medical Association, American Academy of Pediatrics, American Psychological Association, American Psychiatric Association, American Association for Marriage and Family Therapy, National Association of Social Workers, American Psychoanalytic Association, American Academy of Family Physicians; et al. "Brief of [medical organizations] as Amici Curiae in Support of Petitioners" (PDF). supremecourt.gov. Retrieved 5 April 2018.
In 2011, the United Nations Human Rights Council passed its first resolution recognizing LGBT rights, following which the Office of the United Nations High Commissioner for Human Rights issued a report documenting violations of the rights of LGBT people, including hate crimes, criminalization of homosexual activity, and discrimination. Following the issuance of the report, the United Nations urged all countries which had not yet done so to enact laws protecting basic LGBT rights.[5][6]

In 2011, the United Nations Human Rights Council passed its first resolution recognizing LGBT rights, following which the Office of the United Nations High Commissioner for Human Rights issued a report documenting violations of the rights of LGBT people, including hate crimes, criminalization of homosexual activity, and discrimination. Following the issuance of the report, the United Nations urged all countries which had not yet done so to enact laws protecting basic LGBT rights.[5][6]
Though the reality was that the Stonewall riots themselves, as well as the immediate and the ongoing political organizing that occurred following them, were events fully participated in by lesbian women, bisexual people and transgender people as well as by gay men of all races and backgrounds, historically these events were first named Gay, the word at that time being used in a more generic sense to cover the entire spectrum of what is now variously called the 'queer' or LGBT community.[31][32]
Same-sex couples face the same financial constraints of legal marriage as opposite-sex married couples, including the marriage penalty in taxation.[141] While social service providers usually do not count one partner's assets toward the income means test for welfare and disability assistance for the other partner, a legally married couple's joint assets are normally used in calculating whether a married individual qualifies for assistance.[141]

In 1993, former legislator Anna Wu proposed an Equal Opportunities Bill through a private member's bill to outlaw discrimination on a variety of grounds, including sex, disability, age, race, and sexuality. Her effort didn't yield any result until 1995 when equal opportunities law was enacted. However, sexuality was not included in the passage of the bill.[6][7][8]
Individuals who are transgender and transsexual do not identify with the sex and/or gender constructs they were born into. People who are transgender feel a disconnect between their own internal concept of their gender and the gender roles made by their society. For example, someone born male may not feel much, if any, connection to what his culture has defined as being "masculine" and may instead strongly identify with what is typically defined as being "feminine."
Bisexuality is romantic or sexual attraction to both males and females. The American Psychological Association states that "sexual orientation falls along a continuum. In other words, someone does not have to be exclusively homosexual or heterosexual, but can feel varying degrees of both. Sexual orientation develops across a person's lifetime–different people realize at different points in their lives that they are heterosexual, bisexual or homosexual."[8][14]
I like movies where bisexuals come out to each other together and fall in love, because these tend to be so few and far between; the most recent example would be 2002's lovely romantic comedy, Kissing Jessica Stein. Most movies with bi characters paint a stereotypical picture.... The bi love interest is usually deceptive (Mulholland Drive), over-sexed (Sex Monster), unfaithful (High Art), and fickle (Three of Hearts), and might even be a serial killer, like Sharon Stone in Basic Instinct. In other words, the bisexual is always the cause of the conflict in the film.
As a British colony, Hong Kong's criminal laws against male homosexual acts were initially a reflection of British law, with a maximum sentence of life imprisonment. During the 1970s and 1980s, there was a public debate about whether or not to reform the law in line with human rights principles. As a result, in 1991 the Legislative Council agreed to decriminalise private, adult, non-commercial, and consensual homosexual relations.

Legalizing gay marriage often leads to an end to domestic partnership benefits for gay and straight couples, which disadvantages couples who choose not to get married. Maryland ended health insurance benefits for new domestic partnerships after same-sex marriage became legal in the state in 2013. [124] [135] The state of Washington automatically converted domestic partnerships to marriages when they legalized gay marriage in 2012, providing no option to retain domestic partnerships or civil unions unless one partner is at least 62 years old. [134] [123] The US Defense Department announced in Aug. 2013 that it would grant health insurance and other benefits to same-sex married partners of US troops, but that domestic partners would no longer be granted the same benefits. [125] The Internal Revenue Service (IRS) and the US Department of Labor recognized same-sex married couples for the purpose of granting tax, retirement, and health insurance benefits after the US Supreme Court declared part of the Defense of Marriage Act (DOMA) unconstitutional in 2013, but they did not include domestic partnerships or civil unions. [126]
When sex is defined legally, it may be defined by any one of several criteria: the XY sex-determination system, the type of gonads, the type of external sexual features, or the person's social identification.[citation needed] Consequently, both transgender and intersex individuals may be legally categorized into confusing gray areas, and could be prohibited from marrying partners of the "opposite" sex or permitted to marry partners of the "same" sex due to legal distinctions.[citation needed] This could result in long-term marriages, as well as recent same-sex marriages, being overturned.[citation needed]
The main right-wing opposition party UMP challenged the law in the Constitutional Council, which had one month to rule on whether the law conformed to the Constitution. The Constitutional Council had previously ruled that the issue of same-sex marriage was one for the Parliament to decide and there was only little hope for UMP to overturn the Parliament's vote.[255] On 17 May 2013, the Constitutional Council declared the bill legal in its entire redaction. President François Hollande signed it into law on 18 May 2013.[256]
There is no “International Congress of Flag Makers” that “recognizes” flags. This is a suppositious organization. It has never existed. We see it often in association with the Rainbow Flag in San Francisco. What this is a contraction of two names, the English version of FIAV, or the International Association of Vexillological Associations, and Flag Congress. The term Flag Congress was the meeting name of the joint meetings FIAV XII and NAVA XXI, held in San Francisco, CA in the Summer of 1987. The largest such meeting ever held, hosting over 150 vexillologists from 16 nations. The “International Congress of Flag Makers” was inadvertently created by Gilbert Baker when he was interviewed by the representatives of the Gay press in San Francisco, during Flag Congress. During that interview Mr. Baker confused the organization FIAV and the event Flag Congress. The result was this supposed organization. By "recognition" he was in fact referring to the paper I presented at Flag Congress entitled “The Evolution and Adoption of the Rainbow Flag in San Francisco”, in which the full details of the Rainbow Flag are chronicled. It was published as [fer89].
Same-sex marriage is the legal union between two people of the same gender. Throughout history, same sex unions have taken place around the world, but laws recognizing such marriages did not start occurring until more modern times. As of 2015, only 17 countries around the globe have laws allowing same sex couples to become legally married. Support in some countries that do not allow same sex marriage is rising, however, which leads many to believe that acceptance will continue to grow. To explore this concept, consider the following same sex marriage definition.
The Rainbow Flag as we know it today was developed by San Francisco artist Gilbert Baker in 1978. At the time, there was a need for a gay symbol which could be used year after year for the San Francisco Gay and Lesbian Pride Parade. Baker took inspiration from many sources, from the hippies movement to the black civil rights movement, and came up with a flag with eight stripes. Color has always played an important power in the gay right movement- Victorian England symbolized homosexuality with the color green, lavender became popular in the 1960s, and and pink from the pink triangle has caught on as well- and the colors of the gay flag were no different. Baker explained that his colors each stood for a different aspect of gay and lesbian life:
There are quite a number of reasons for the iconic status of the gay pride rainbow flag. Firstly, Rainbow is being used as a symbol of hope throughout the history. It was found in the earliest recorded history of Egypt, China, and Native American regions. Rainbow is described in the Hebrew scripture - The Book of Genesis as a proof of treaty between the God and living creatures on this planet. So, it is now uncommon to see the rainbow as a symbol for hope and peace. The gay communities were always looking for a symbol which represents their movements and pride. Gilbert Baker, an openly gay man, and an artist had always believed that flag is the powerful symbols which represent equality and pride. When Harvey Milk, the first openly gay elected official of USA urged Gilbert Baker to design a symbol for the gay rights movements, Baker has come up with an idea of the iconic Rainbow flag.
Baehr v. Lewin, 852 P.2d 44 (Haw. 1993). A statute limiting marriage to opposite-sex couples violates the Hawaii constitution's equal-protection clause unless the state can show that the statute is both justified by compelling state interests and also narrowly tailored. This ruling prompted the adoption of Hawaii's constitutional amendment allowing the Legislature to restrict marriage to different-sex couples and the federal Defense of Marriage Act.

^ Doussantousse, S. (2005) "...The Lao Kathoey's characteristics appear to be similar to other transgenders in the region..." in Male Sexual Health: Kathoeys in the Lao PDR, South East Asia – Exploring a gender minority Archived 2007-08-19 at the Wayback Machine from the Transgender ASIA Research Centre Archived 2007-08-23 at the Wayback Machine. Retrieved 2007-07-22.
Maryland ended health insurance benefits for new domestic partnerships after same-sex marriage became legal in the state in 2013. [124] [135] The state of Washington automatically converted domestic partnerships to marriages when they legalized gay marriage in 2012, providing no option to retain domestic partnerships or civil unions unless one partner is at least 62 years old. [134] [123] The US Defense Department announced in Aug. 2013 that it would grant health insurance and other benefits to same-sex married partners of US troops, but that domestic partners would no longer be granted the same benefits. [125] The Internal Revenue Service (IRS) and the US Department of Labor recognized same-sex married couples for the purpose of granting tax, retirement, and health insurance benefits after the US Supreme Court declared part of the Defense of Marriage Act (DOMA) unconstitutional in 2013, but they did not include domestic partnerships or civil unions. [126]
Earlier this year, Facebook created a stir when it added 50 gender options for its billions of users. Collectively, the terms reveal the company’s recognition of a diversity of possible gender identities and gender presentations. For many people, it raised questions about the terms of identity and inspired some to ask: What is the difference between transsexual and transgender?
This symbol is for members of the rubber and latex fetish community and is similar to its predecessor, the leather Pride flag. Peter Tolos and Scott Moats created the design in 1995 "as a means to identifying like-minded men and [it] reflects the sensory, sensual, and mental passion we have for rubber." They say the black color represents "our lust for the look and feel for shiny black rubber," the red symbolizes "our blood passion for rubber and rubbermen," while yellow highlights "our drive for intense rubber play and fantasies." It also features a literal kink, for obvious reasons.
The Vietnamese Government abolished an administrative fine imposed on same-sex weddings in 2013.[475] The policy was enacted on 11 November 2013. The 100,000–500,000 VND ($24USD) fine will be abolished. Although same-sex marriages are not permitted in Vietnam, the policy will decriminalize the relationship, habitual privileges such as household registry, property, child raising, and co-habitual partnerships are recognized.[476]
Used as shorthand to mean transgender or transsexual - or sometimes to be inclusive of a wide variety of identities under the transgender umbrella. Because its meaning is not precise or widely understood, be careful when using it with audiences who may not understand what it means. Avoid unless used in a direct quote or in cases where you can clearly explain the term's meaning in the context of your story.
On 25 June 2015, following the Supreme Court's ruling striking down district same-sex marriage bans, the Civil Registry of Guerrero announced that they had planned a collective same-sex marriage ceremony for 10 July 2015 and indicated that there would have to be a change to the law to allow gender-neutral marriage, passed through the state Legislature before the official commencement.[288] The registry announced more details of their plan, advising that only select registration offices in the state would be able to participate in the collective marriage event.[289] The state Governor instructed civil agencies to approve same-sex marriage licenses. On 10 July 2015, 20 same-sex couples were married by Governor Rogelio Ortega in Acapulco.[290] On 13 January 2016, the head of the Civil Registry of Acapulco announced that all marriages that took place on 10 July 2015 by the Governor and his wife were void and not legal as same-sex marriage is not legal in Guerrero, unless couples are granted an amparo beforehand.[291] On 13 February 2016, however, the head of Guerrero's State Civil Registry department announced that same-sex couples could marry in any of the jurisdictions that want to marry the couples and criticised Acapulco's Civil Registry and other civil registries throughout the state for not allowing these kinds of weddings.[292] By March 2017, every state municipality in Guerrero had stopped issuing marriage licenses to same-sex couples.
The American Academy of Pediatrics has stated that "sexual orientation probably is not determined by any one factor but by a combination of genetic, hormonal, and environmental influences."[43] The American Psychological Association has stated that "there are probably many reasons for a person's sexual orientation and the reasons may be different for different people". It further stated that, for most people, sexual orientation is determined at an early age.[44] The American Psychiatric Association stated: "To date there are no replicated scientific studies supporting any specific biological etiology for homosexuality. Similarly, no specific psychosocial or family dynamic cause for homosexuality has been identified, including histories of childhood sexual abuse."[45] Research into how sexual orientation may be determined by genetic or other prenatal factors plays a role in political and social debates about homosexuality, and also raises fears about genetic profiling and prenatal testing.[46]
In some cases, animals will choose to engage in sexual activity with different sexes at different times in their lives, and will sometimes engage in sexual activity with different sexes at random. Same-sex sexual activity can also be seasonal in some animals, like male walruses who often engage in same-sex sexual activity with each other outside of the breeding season and will revert to heterosexual sexual activity during breeding season.[137]

Polysexuality, unlike pansexuality, is the attraction to multiple genders but not all. A middle ground between bisexuality and pansexuality, it is centered more around attractions to femininity and masculinity rather than gender itself. The pink represents attraction to females; the blue for males. The green is for an attraction to those who don't conform to either gender.


Polysexuality, unlike pansexuality, is the attraction to multiple genders but not all. A middle ground between bisexuality and pansexuality, it is centered more around attractions to femininity and masculinity rather than gender itself. The pink represents attraction to females; the blue for males. The green is for an attraction to those who don't conform to either gender.

The plaintiffs argued that it was unconstitutional to deny same sex couples the right to marry and enjoy marital benefits. In 2002, a Suffolk County judge ruled against the plaintiffs, stating that, because the central purpose of marriage is for procreation, it is rational for the legislature to limit the right to marry to opposite sex couples. The court went on to say, “… because same-sex couples are unable to procreate on their own and therefore must rely on inherently more cumbersome means of having children, it is also rational to assume that same-sex couples are less likely to have children or, at least, to have as many children as opposite-sex couples.” The decision was appealed to the Massachusetts Supreme Court in 2003, which ruled in a 4 to 3 decision, that banning marriage to any couple, regardless of sex, is in violation of the state’s constitution.


Bisexual behaviors are also associated in popular culture with men who engage in same-sex activity while otherwise presenting as heterosexual. The majority of such men — said to be living on the down-low — do not self-identify as bisexual.[65] However, this may be a cultural misperception closely related to that of other LGBT individuals who hide their actual orientation due to societal pressures, a phenomenon colloquially called "being closeted".[original research?]
The first public demonstration by gay people in Italy took place in San Remo on April 5, 1972, and was in protest against the International Congress on Sexual Deviance organized by the Catholic-inspired Italian Center of Sexology. The event was attended by about forty people belonging to various homophile groups, including ones from France, Belgium, Great Britain's Gay Liberation Front, and Italy's activist homosexual rights group Fuori! [it].[77]:54–59
A gay ftm would be called a gay ftm or gay transman I guess regardless of whether you're talking transgender or transsexual. I don't really see how his orientation would matter though. A transsexual (ie is undergoing some sort of surgical treament usually including a phalloplasty or metoidoplasty) would definately call himself a gay man, a transgender person like you're talking about might simply say he's a fag or trannyfag.
Gilbert Baker, an openly gay activist born in 1951, grew up in Parsons, Kansas, and went on to serve in the US army for about two years around 1970. After an honorable discharge, Gilbert taught himself to sew. In 1974, Baker met Harvey Milk, an influential gay leader, who three years later challenged Baker to come up with a symbol of pride for the gay community.[3] The original gay pride flag flew at the San Francisco Gay Freedom Day Parade celebration on June 25, 1978. It has also been suggested that Baker may have been inspired by Judy Garland's singing "Over the Rainbow" and the Stonewall riots that happened a few days after Garland's death (she was one of the first gay icons).[4][5] Another suggestion for how the rainbow flag originated is that at college campuses during the 1960s, some people demonstrated for world peace by carrying a Flag of the Races (also called the Flag of the Human Race) with five horizontal stripes (from top to bottom they were red, white, brown, yellow, and black).[6] The first rainbow flags were commissioned by the fledgling pride committee and were produced by a team led by Baker that included artist Lynn Segerblom.[7] Segerblom was then known as Faerie Argyle Rainbow; she created the original dyeing process for the flags.[8] Baker is said to have gotten the idea for the rainbow flag from the Flag of the Races[9] in borrowing it from the Hippie movement of that time[10] largely influenced by pioneering gay activist Allen Ginsberg. The flag originally comprised eight stripes; Baker assigned specific meaning to each of the colors:[11][12][13]

A person's internal, deeply held sense of their gender. For transgender people, their own internal gender identity does not match the sex they were assigned at birth. Most people have a gender identity of man or woman (or boy or girl). For some people, their gender identity does not fit neatly into one of those two choices (see non-binary and/or genderqueer below.) Unlike gender expression (see below) gender identity is not visible to others.
^ For example, Virginia Prince used transgender to distinguish cross-dressers from transsexual people ("glbtq > social sciences >> Prince, Virginia Charles". glbtq.com. Archived from the original on 2015-02-11.), writing in Men Who Choose to Be Women (in Sexology, February 1969) that "I, at least, know the difference between sex and gender and have simply elected to change the latter and not the former."
Like the pansexual flag, the asexual flag was created in 2010. Inspired by the Asexual Visibility and Education Network logo, it represents many ace identities, including graysexuals (the fluid area between sexuals and asexuals) and demisexuals (people who don't experience sexual attraction unless they have an emotional connection with their partners.) Learn more here.
Donna Haraway was the inspiration and genesis for cyberfeminism with her 1985 essay "A Cyborg Manifesto: Science, Technology, and Socialist-Feminism in the Late Twentieth Century" which was reprinted in Simians, Cyborgs and Women: The Reinvention of Nature (1991). Haraway's essay states that the cyborg "has no truck with bisexuality, pre-oedipal symbiosis, unalienated labor, or other seductions to organic wholeness through a final appropriation of all powers of the parts into a higher unity."[96] However, the book Feminist Essays (2017) by Nancy Quinn Collins states that in the opinion of its author this "is wrong because bisexuality is a sexual orientation, a harmless attraction some people simply have, not something they try to have or do in order to create organic wholeness through a final appropriation of all powers of the parts into a higher unity. Therefore, I [the author] would say that cyborgs can be bisexual, and cyberfeminism can and should be accepting of bisexuality."[97]
In some cases bisexuality is actually a form of fitness favored by evolution. For example, in the absence of male whiptail lizards (Cnemidophorus), females reproduce by pairing up with each other. During the breeding season females will take turns switching between "male" and "female" roles as their hormones fluctuate. Estrogen levels are high during ovulation ("female" role) and much lower after laying eggs ("male" role). While in the "male" role, a female lizard will mount another in the "female" role and go through the motions of sex to stimulate egg-laying. The hatchlings produced are all female. This all-female species has evolved from lizards with two sexes, but their eggs develop without fertilization (parthenogenesis). Female whiptail lizards can lay eggs without sex, but they lay far fewer eggs than if they engage in sexual stimulation by another female.[44]
Bisexual behaviors are also associated in popular culture with men who engage in same-sex activity while otherwise presenting as heterosexual. The majority of such men — said to be living on the down-low — do not self-identify as bisexual.[65] However, this may be a cultural misperception closely related to that of other LGBT individuals who hide their actual orientation due to societal pressures, a phenomenon colloquially called "being closeted".[original research?]
In 2010, a Columbia University Mailman School of Public Health study examining the effects of institutional discrimination on the psychiatric health of lesbian, gay and bisexual (LGB) individuals found an increase in psychiatric disorders, including a more than doubling of anxiety disorders, among the LGB population living in states that instituted bans on same-sex marriage. According to the author, the study highlighted the importance of abolishing institutional forms of discrimination, including those leading to disparities in the mental health and well-being of LGB individuals. Institutional discrimination is characterized by societal-level conditions that limit the opportunities and access to resources by socially disadvantaged groups.[45][46]
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