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As we observe National HIV and Aging Awareness Day, it's critical to recognize the unique challenges facing aging Black LGBTQ+ individuals living with HIV. While significant advances in antiretroviral therapy (ART) have allowed people with HIV to live longer, healthier lives, aging with HIV presents its own set of health complications, particularly for communities that have long faced systemic inequities.
For Black LGBTQ+ people, these challenges are often exacerbated by a history of racial and medical discrimination, social stigma, and reduced access to quality healthcare. Although Black Americans make up only 12% of the U.S. population, they account for nearly 42% of new HIV diagnoses​(HIV.gov)​(CDC). Among these, Black gay, bisexual, and transgender men are disproportionately affected. The intersection of aging and HIV in our community demands both awareness and action.
The Overlooked Crisis of Aging with HIV
As of today, nearly half of all Americans living with diagnosed HIV are aged 50 or older​(NIH Office of AIDS Research). Aging with HIV involves not only managing the virus but also contending with a higher risk for comorbid conditions such as cardiovascular disease, diabetes, and cognitive decline​(NIH Office of AIDS Research). These risks are further complicated by structural barriers to care, particularly for Black LGBTQ+ people, who may experience discrimination within healthcare settings.
One alarming statistic is that older Black adults, especially women and transgender individuals, are less likely to discuss sexual health with their healthcare providers​(NIH Office of AIDS Research)​(NIH Office of AIDS Research). This lack of communication can delay HIV diagnoses and treatment, which is critical for maintaining long-term health.
Addressing the Gaps
At Black Alphabet, we believe that raising awareness is the first step toward addressing the gaps in HIV care for aging Black LGBTQ+ individuals. To reduce disparities, it’s essential that healthcare providers receive training in culturally competent care that considers the unique social and medical needs of Black LGBTQ+ people.
Additionally, expanding access to prevention tools like PrEP (Pre-exposure Prophylaxis) and improving education around the importance of early HIV testing can help close the gap. Currently, only 8% of Black people who could benefit from PrEP are using it​(CDC)—a statistic that must change if we are to combat this epidemic effectively.
Our Call to Action
This National HIV and Aging Awareness Day, we urge healthcare providers, policymakers, and community organizations to prioritize the needs of aging Black LGBTQ+ individuals living with HIV. Together, we can build a future where our elders not only survive but thrive—empowered by access to equitable healthcare and the knowledge that their lives matter.
As part of Black Alphabet’s efforts to support people living with HIV we invite you to donate our team for Chicago’s AIDS Run/Walk 2024.
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