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Challenges and Opportunities for Equitable Aging for LGBTQ+ Older Adults in Rural Communities: A Community-Engaged
Angela K Perone1, Leyi Zhou1, Tré Coldon1
1School of Social Welfare, University of California, Berkeley, Berkeley, CA, USA.
Research on Aging
|January 22, 2026
Summary
This study highlights challenges and strategies for LGBTQ+ older adults in rural areas, focusing on health, housing, and community support. Findings offer a blueprint for equitable aging policies and practices for this underserved population.
Area of Science:
- Gerontology
- Sociology
- Public Health
Background:
- Research on LGBTQ+ rural aging is limited, hindering effective support strategies.
- Equitable aging theory provides a framework for understanding the experiences of older adults.
- Community-engaged approaches are crucial for addressing the needs of marginalized aging populations.
Purpose of the Study:
- To examine the challenges and strengths of LGBTQ+ older adults in rural communities.
- To identify thriving and surviving strategies employed by this population.
- To develop recommendations for policy and practice to support equitable aging for LGBTQ+ rural elders.
Main Methods:
- Community-engaged qualitative study utilizing 4 focus groups.
- Involved 31 LGBTQ+ older adults residing in rural California communities.
- Data analysis identified interrelated domains and cross-level themes.
Main Results:
- Six domains (health, housing, technology, transportation, caregiving, community) reflect challenges and strengths.
- Three intersecting themes illustrate equitable aging: fractured healthcare/family support, social connections/space, and housing accessibility.
- Findings highlight the interplay of micro, mezzo, and macro levels in shaping experiences.
Conclusions:
- A blueprint for policymakers and practitioners to support LGBTQ+ rural aging is provided.
- Addressing fractured healthcare and ensuring affordable, accessible housing are critical.
- Fostering social connections and community spaces is essential for thriving.
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