Some children and adolescents are aware of their attraction to members of the same gender by early adolescence, but awareness varies by culture and acculturation. Sexual orientation and gender identity are separate aspects of one’s experience; both may be fluid or complex. Some children and adolescents may spend a long time figuring out their sexual orientation or identity before feeling secure in it. Resources and supportive adults are scarce for children who identify as LGBTQ (lesbian, gay, bisexual, queer, or questioning); peer support is limited in rural areas and small towns.
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