People who identify outside of a gender binary most often use non-gendered or nonbinary pronouns that are not gender specific. Only the person themself can determine what their gender identity is, and this can change over time. These identities may include transgender, nonbinary, or gender-neutral. People may identify with genders that are different from sex assigned at birth, some people do not identify with any gender, while others identify with multiple genders. The difference between sex and gender, and why both matter in health research Gender is not neatly divided along the binary lines of “man” and “woman”. While gender has been defined as binary in Western culture, gender is on a broad spectrum a person may identify at any point within this spectrum or outside of it entirely. People often develop their gender identity and gender expression in response to their environment. This is distinct from gender, which is a social construct and reflects the social and cultural role of sex within a given community.
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