gender expression based on their sex and sexuality. Some sexologists, especially earlier on in the 20th century, viewed gay men and lesbians as "gender inverts". This idea was seen in figures in 1950's New York gay culture: effeminate men referred to as "fairies", as well as butch lesbians. Drag shows also can be considered a way that modifying one's gender expression can indicate their sexuality, though this is not always the case. Some research proved a similar idea, showing that homosexual people are generally more gender nonconforming than heterosexual people, and gender nonconformity throughout life can be an indicator of sexuality. Discrimination People sometimes face discrimination because of their gender expression. Victims of discrimination often culturally express different genders than their gender identity or biological sex. Gender expression-based discrimination can be independent of sexual orientation, and it can lead to bullying, childhood abuse, sexual assault, discrimination, and various other traumatizing hardships. However, discrimination based on sexual orientation can be connected to a person's gender expression. Scholars say it is difficult to separate the connection between anti-LGBTQ discrimination and gender expression, especially when the expression differs from the person's assigned gender at birth. In a study done by Steph M. Anderson, she found that in discriminatory situations, participants' gender affected whether or not they were perceived as LGBTQ. People whose expression aligned with their assigned gender felt less of an impact than those whose expression did not align with their assigned gender. When it comes to health care, one study shows that people with a non-normative gender expression experienced biases during their care. For example, lesbians who presented femininely may be more comfortable in healthcare spaces than people whose expression does not match their assigned gender. Some gender non-conforming people in the study expressed feelings that having one's gender or sexuality assumed because of their expression limited their comfort and access to healthcare. Gender expression is a sizable aspect of how a person views themselves, and thus will impact self confidence. When an individual is forced, for personal or societal influences, to portray themselves in a manner they don't personally identify with, confidence can be greatly hindered in turn damaging mental health. A 2017 study reported that when masculine presenting lesbians are made to dress in a feminine style, their confidence suffers greatly. Related terms Other, rarer terms exist for aspects of gender expression. In academic sources, a feminine gender expression