Youth exhibiting gender non-conformity often exhibit a strong correlation to same-sex attraction in later life, with studies indicating that a significant percentage of effeminate boys and tomboy girls may identify as gay as adults. Current approaches to youth gender identity, particularly in clinics, are criticized for adhering to outdated sex stereotypes that fail to recognize natural variations in gender expression. Additionally, parental attitudes play a crucial role, as some parents prefer to support a transgender identity over a potential same-sex orientation, reflecting societal discomfort with homosexuality.

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