I think that part of it is that over here in Europe we have, for decades now, had more socialised healthcare. As a result, we tend to get our transitioning fully provided for free. In many of the countries which are less progressive, pornography is often a viable way of making the necessary money to fund hormones, surgery, etc.
As a result, these countries will tend to be overrepresented within the industry. Any industry goes where there are workers...
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