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In areas that historically are not known for having or being friendly to LGBT people who do not remain closeteda "first" can make it easier for other openly LGBT persons to enter the field or for those who are closeted to come out. Gay and lesbian couples are also more likely to remain positive after a disagreement. The study was supported entirely by NIH. The committee's approach to the literature is described below, followed by a discussion of the various frameworks applied in this study. Race and ethnicity —Concepts of community, traditional roles, religiosity, and cultural influences associated with race and ethnicity shape an LGBT individual's experiences. Historically, lesbians, gay men, bisexual individuals, and transgender people have not been understood and accepted as part of the normal spectrum of the human condition.

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A conceptual framework, Contemporary perspectives on lesbian, gay, and bisexual identities.

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