There's definitely a decent chunk of weirdos who've just slapped on a wig and a skirt a few times and sauntered around the bedroom, but 99% of the rest of the time, are just an anime profile online.
But when they do venture out into the real world, I think it's mostly a suburban thing.
Like just as a small sample, last year
Tony Reed and some troons attended a troon round table with some obscure Maryland governor longshot candidate.
Most of those troons were from suburban parts of the state, or the eastern shore, which is mostly rural small towns. (but comfy small towns, probably too polite to shittalk the freaky crossdressers) The main exemptions are just the black pooners. Which btw, black transmen have their own unique weird trends, not sure what I think of them.