. "Transgender" is an umbrella term for people whose gender identity or expression differs from the sex they were assigned at birth. American Psychological Association (APA) Historical Foundations
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| Area | Status | Gaps | |------|--------|------| | | Increasing insurance coverage in some countries | Long waitlists, high costs, surgical gatekeeping | | Mental health | Affirmation reduces suicide risk (41% pre-transition attempt rate drops to near-population baseline post-transition) | Lack of trans-competent therapists | | HIV/STI prevention | PrEP access improving, but trans-specific data rare | Stigma in sexual health clinics | | Aging & elder care | Little research; many trans elders forced back into closet in nursing homes | No national training standards for geriatric staff | | Area | Status | Gaps | |------|--------|------|