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Some individuals identify themselves as heterosexual, homosexual or bisexual without having had any sexual experience.Others have had homosexual experiences but do not consider themselves to be gay, lesbian, or bisexual.Rather, LGB individuals are often raised in communities that are either ignorant of or openly hostile toward homosexuality.

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The same study found that 2.8 percent of women ages 18–44 considered themselves bisexual, 1.3 percent homosexual, and 3.8 percent as "something else".

and environmental factors (including fraternal birth order, where the number of older brothers a boy has increases the chances of homosexuality; specific prenatal hormone exposure, where hormones play a role in determining sexual orientation as they do with sex differentiation; The American Psychological Association has stated that "there are probably many reasons for a person's sexual orientation and the reasons may be different for different people".

It further stated that, for most people, sexual orientation is determined at an early age.

In a longitudinal study about sexual identity development among lesbian, gay, and bisexual (LGB) youths, Rosario et al.

"found evidence of both considerable consistency and change in LGB sexual identity over time".