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: From the two-spirit traditions in Indigenous North American cultures to the kathoey in Thailand, gender-diverse people have held spiritual and social roles for centuries. 2. The Era of Criminalisation

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of trans individuals report avoiding medical offices to escape discrimination [10]. 1 in 3 must teach their own doctors how to provide appropriate care [7]. Delayed treatment and poorer health outcomes [23]. Mental Health : From the two-spirit traditions in Indigenous North