Transgender and gender-expansive youth are generally less likely to be "out" to their families compared to their LGBQ+ peers. For instance, roughly 44% of trans youth are out to all parents, compared to 54% of LGBQ+ youth. Culture and Historical Contributions

Figures like Marsha P. Johnson and Sylvia Rivera were central to the 1969 Stonewall Uprising and founded STAR (Street Transvestite Action Revolutionaries), the first transgender youth shelter in North America.

The transgender pride flag, designed by activist Monica Helms in 1999, remains a primary symbol of the movement, using blue, pink, and white stripes to represent various stages of transition and nonbinary identities. 2023 LGBTQ+ Youth Report - HRC

Transgender individuals, particularly women of color, have been the "backbone" of the LGBTQ+ rights movement since its inception.

Diverse gender identities have deep roots globally, such as the hijra in South Asia and the koekchuch in 18th-century Siberia.