In use since the late 1980s, the initialism, as well as some of its common variants, functions as an umbrella term for marginalized sexualities and gender identities. The LGBT label is not universally agreed to by everyone that it is generally intended to include. Many further variations of the acronym exist, such as LGBT+ (simplified to encompass the Q concept within the plus sign), LGBTQIA+ (adding intersex, and asexual/ aromantic), and 2SLGBTQ+ (adding two-spirit for a term specific to Indigenous North Americans). Another popular variation, LGBTQ+, adds a plus sign "represents those who are part of the community, but for whom LGBTQ does not accurately capture or reflect their identity". A popular variant, LGBTQ, adds the letter Q for those who identify as queer or are questioning their sexual or gender identity. It may refer to anyone who is non-heterosexual or non- cisgender, instead of exclusively to people who are lesbian, gay, bisexual, or transgender. LGBT is an initialism that stands for " lesbian, gay, bisexual, and transgender".
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