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A study published on Friday estimates that nearly 1.64 million people over the age of 13 in the United States identify themselves as transgender, based on an analysis of newly expanded federal health surveys.

The study estimates that about 0.5% of all US adults, some 1.3 million people, and about 1.4%, or 300 000, of youth between 13- and 17-years-old identify as transgender, having a different gender identity than the sex they were assigned at birth.

“This report shows trans people live everywhere and their needs and concerns need to be listened to and be addressed in the public policy landscape,” Jody L. Herman, one of the study’s authors, said in an interview. Jae Sevelius, a professor of medicine at the University of California, San Francisco, who was not involved in the study, called it the best population estimate yet using “the best available data that we have currently to make these estimates.” “That being said, even the best available data is not great,” Sevelius said, adding that the findings of the new study, which was not peer-reviewed, aligns with earlier estimates.

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