: This 9% includes 4% who identify as nonbinary, 3% as men, and 1% as women.

Transgender identities are not a modern Western invention but have existed across various cultures for centuries:

: The Human Rights Campaign defines "transgender" as an umbrella term for anyone whose gender identity differs from the sex they were assigned at birth. Global and Cultural Context

: Roles like the Navajo nádleehi and Zuni lhamana represent long-standing traditions of gender fluidity in North America.