The Future is Gray and Gay: Building Inclusive HIV Systems for LGBTQ+ Older Adults
As the population of people living with HIV (PLWH) ages, healthcare systems must evolve to meet the complex needs of older adults, particularly those who identify as LGBTQ+. Over half of PLWH in the U.S. are now aged 50 or older, many of whom face not only physical health challenges but also the compounded effects of stigma, isolation, and discrimination. Holy Cross Health in Broward County, Florida, has developed a comprehensive, community-embedded care model that integrates HIV treatment with aging services, behavioral health, and chronic disease management. This peer- and community health worker–led, equity-focused approach is designed to address disparities among LGBTQ+ individuals, people of color, and those experiencing economic hardship. The model emphasizes cultural humility, trauma-informed care, and whole-person wellness. This session will explore how this integrated framework improves outcomes and offers a scalable solution for reimagining HIV care for aging LGBTQ+ populations.

