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Transgender is used as an adjective to refer to persons whose gender identity, expression, and/or role does not conform to what is culturally associated with their sex assigned at birth.
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For example, in the study of sexual orientation, researchers continue to examine the extent to which sexuality or sexual orientation-attraction to sex, gender, or some combination of both-is a biological and/or acculturative phenomenon. Using “gender” instead of “sex” also avoids ambiguity over whether “sex” means “sexual behavior.” In some cases, there may not be a clear distinction between biological and acculturative factors, so a discussion of both sex and gender would be appropriate. For example, when reporting the genders of participants in the Method section, write something like this: “Approximately 60% of participants identified as cisgender women, 35% as cisgender men, 3% as transgender women, 1% as transgender men, and 1% as nonbinary.” Sex refers to biological sex assignment use the term “sex” when the biological distinction of sex assignment (e.g., sex assigned at birth) is predominant. Use the term “gender” when referring to people as social groups. Gender is a social construct and a social identity.
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Gender refers to the attitudes, feelings, and behaviors that a given culture associates with a person’s biological sex (APA, 2012).