Abstract
Older lesbian, gay, bisexual, and transgender (LGBT) persons face many challenges in aging, including coping with life-long discrimination and encountering family and others who are not supportive of their identities and relationships. Members of this population who reside in small towns and rural areas face even more challenges in older adulthood. This article presents a case study of an older woman who is questioning her sexual orientation and discusses her experiences in the context of aging in a rural community. The article also addresses the historical context in which older LGBT people came of age as well as health issues that impact them. In addition, recommendations are offered for improving provider services with LGBT individuals.
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