June 2025

Iridescent Life Course: LGBTQ Aging Research and Blueprint for the Future – A Systematic Review

By Karen I. Fredriksen Goldsen, Sarah Jen & Anna Muraco  LGBTQ* (lesbian, gay, bisexual, trans, and queer) older adults are demographically diverse and growing populations. In an earlier 25-year review of the literature on sexual orientation and aging, we identified four waves of research that addressed dispelling negative stereotypes, psychosocial adjustment to aging, identity development, and social and community-based support in the lives of LGBTQ older adults.  The current review was designed to develop an evidence base for the field...

LGBT Older Adults: Chosen Family and Caregiving

By Nancy J. Knauer In the United States, informal eldercare is principally the responsibility of younger relatives. Adult children perform the majority of eldercare and nonrelatives perform only fourteen percent of care. Caregiving in the LGBT community follows a very different pattern that reflects the importance of “chosen family” in the lives of LGBT older adults. Instead of relying on relatives, LGBT older adults largely care for each other. Relatives provide only eleven percent of all eldercare. This article explores the...

Midlife Satisfaction Disparities by Sexual Orientation: Findings from the Health and Retirement Study

By Wenhua Lai, Ning Hsieh & Hui Liu Midlife is a pivotal stage shaping healthy aging, and sexual minorities may face more challenges in midlife than heterosexual individuals, due to cumulative social, economic, and health disadvantages. Yet, few studies have examined how life satisfaction in midlife varies by sexual identity. Using data from the 2016 Health and Retirement Study (N = 3,630), we conducted logit regressions and Karlson-Holm-Breen (KHB) decomposition analysis to examine how health-related, socioeconomic, and sociopsychological factors contribute to disparities...

America’s Boomer Population Grows As Birth Rates Fall

The American population is becoming older, with the proportion of baby boomers increasing while birth rates are declining, according to the newly released Vintage 2024 Population Estimates by the U.S. Census Bureau. The population aged 65 and older increased by 3.1 percent, to 61.2 million, while the population of those under age 18 decreased by 0.2 percent, to 73.1 million, from 2023 to 2024, the data revealed. Why It Matters America's aging population, coinciding with falling birth rates, has become a growing...

Independence trumps longevity as top priority in aging: survey

Remaining independent and self-sufficient were among the top priorities of aging, along with having the financial resources to support themselves in retirement, for respondents to a new survey. CenterWell, the healthcare services segment of Humana, and Morning Consult surveyed 4,200 US adults on how they define a fulfilling life. According to the results, 78% of Americans aged 65 or more years said they would prefer independence as opposed to a longer life but having to depend on others. For survey-takers...

Aging and Retirement Issues for LGBTQ+ People

By Society of Actuaries Research Institute The Society of Actuaries (SOA) Research Institute Aging and Retirement Strategic Research Program in collaboration with the Sexuality and Gender Alliance of Actuaries (SAGAA) is pleased to present this collection of essays that explore aging and retirement issues for LGBTQ+ people. This collection continues the Program’s dedicated effort to further advance the SOA’s organization-wide Diversity, Equity and Inclusion initiative. This includes its 2021 companion essay collection on aging and retirement issues for people of different races and ethnicities. Our...

Patterns of LGBTQ+ Patient Experiences and Receipt of Preventive Care in Midlife and Older Age: A Latent Class Analysis

By Nathaniel M. Tran, Tara McKay, Gilbert Gonzales, Carrie Fry & Stacie B. Dusetzina Introduction: Understanding how LGBTQ+ patient experiences vary and are associated with receipt of preventive services may help reduce disparities between LGBTQ+ and non-LGBTQ+ populations. Objective: (1) To identify latent classes of LGBTQ+ patient experiences using seven indicators of clinical and cultural competence, (2) to identify sociodemographic characteristics associated with class membership, and (3) to evaluate the relationship between class membership and receipt of preventive care. Methods: 954 LGBTQ+...

Activating the aging agenda: A fresh look at an overlooked mega trend

Almost every country in the world today is facing a predictable, but addressable, trend that will profoundly impact societies and economies: Aging. Despite numerous calls  to action, the aging agenda remains under the radar, especially when compared to other “mega trends” like climate change and digital transformation. Understanding demographic changes Why is aging being overlooked? There are three key aspects of demographic changes that are not well understood, which we believe is contributing to the lack of policy attention: Speed of aging in developing economies: Developing...

Planning for 100-year lives: How fintech can reshape wealth for the longevity economy

With people living significantly longer, the conventional model of retiring at 65 no longer suffices. Fintech innovations like robo-advisors, artificial intelligence coaches, and behavioural nudges can help people navigate financial volatility. Real impact demands joint efforts from fintechs, banks, employers, educators and policymakers to make financial tools inclusive, accessible and effective. We are living through a global demographic shift. By 2050, one in six people worldwide will be over the age of 65, up from one in 11 in 2019, according to the United...

Japan’s Population Crisis Reaches Tipping Point

In 2024, Japan recorded only 686,061 births—the lowest number since records began in 1899. This marks a 5.7% decline from the previous year and the ninth consecutive annual drop. The fertility rate also hit a record low of 1.15 children per woman, far below the 2.1 needed for population stability. The steady decline in the number of births has become a defining feature of Japan’s demographic landscape, raising deep concerns about the country’s ability to sustain its population. Each year, the...