However, tension persists. Within LGBTQ culture, there are ongoing debates:
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Concerns the gender of the people an individual is romantically or sexually attracted to. However, tension persists
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On a personal level, the rates of family acceptance are stark. Among transgender adults who are out to their parents, only 31% say all of their parents are accepting, compared to 52% of gay or lesbian adults. The numbers drop even lower for extended family: only 11% of transgender adults say all of their extended family are accepting. A report from Advocates for Trans Equality found a direct link between this rejection and health outcomes: trans adults who experienced family rejection reported much higher rates of considering or attempting suicide, while those with support thrived.