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Explore the history of marriage equality in North Carolina, current protections, and new legislation working to secure LGBTQIA2+ families and older adults.

LGBTQIA2+ older adults do not age in the same way—and their identities matter. Intersectionality shapes how race, gender identity, disability, income, and geography impact access to care, community, and dignity in later life.

Carolina Aging Alliance is proud to feature guest contributors who bring insight, compassion, and expertise to the lives of LGBTQIA2+ older adults across the Carolinas. Today, we’re honored to share the insight of Joel G. Anderson, PhD, CHTP, FGSA.  Joel is the Joan L. Creasia Endowed Professor at the University of Tennessee College of Nursing  and a member of the Carolina Aging Alliance Board of Directors. Compared with their straight, cisgender peers, LGBTQIA2+ older adults

Many people have heard of birth doulas, but few know the compassionate role of death doulas—guides who support individuals and families during life’s final transition. For LGBTQIA2+ older adults, this care offers dignity, advocacy, and affirmation when it matters most. Here’s what death doulas do and why their presence is so important in the Carolinas.

LGBTQIA2+ elders face distinct challenges shaped by a lifetime of discrimination, limited protections, and gaps in safe, affirming care. Yet their resilience and community strength remain powerful. Learn what these older adults experience today—and how the Carolina Aging Alliance is working to support thriving, connection, and dignity for LGBTQIA2+ seniors in North Carolina.

Being an ally means actively showing up and supporting others.

Every generation within the LGBTQIA2+ community carries its own history of courage, creativity, and resilience. From those who marched and organized decades ago to those shaping a more inclusive world today, our collective story is one of progress built through connection.

The holiday season is frequently referred to as “the most wonderful time of the year,” brimming with family gatherings, cherished traditions, and joyous celebrations. However, for numerous older LGBTQ+ adults, this period can evoke contrasting emotions—feelings of loneliness, isolation, or painful reminders of past rejection.

Discover how Carolina Aging Alliance is combating social isolation in LGBTQIA2+ seniors through inclusive community programs, peer support, and volunteer connections.

Embracing the Beauty of Aging in the LGBTQ+ Community.