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.