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Sexual and gender minorities (SGM) comprise individuals whose sexual identity, sexual orientation, sexual behavior, or gender identity differ from the majority of the surrounding society. Sexual minorities include homosexual, bisexual, asexual, and other non-heterosexual people, Gender minorities include transgender and non-binary people. Gender, sexual and romantic minorities (GSRM) includes individuals of a minority romantic orientation such as aromanticism. Sexual and gender minorities is a synonym for LGBTQ people. In 2015, the United States National Institutes of Health described SGM as an "umbrella term that encompasses populations included in the acronym "LGBTI", and those whose sexual orientation or gender identity varies. It includes those who may not self-identify as any of the immediate letters of LGBTI, or those who have a specific medical condition affecting reproductive development ."