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In this article, we explore the lives of lesbian, gay, bisexual, and transgender LGBT older adults in mainland China, with an emphasis on the shifting nature of the cultural context. Based on a culturally informed perspective, the intersection of LGBT stigma with cultural values familial responsibility, filial piety, and loss of face and larger structural changes the aftermath of the one-child policy, economic reforms and globalization, LGBT human rights, and HIV policies are creating dramatic shifts in Chinese society and impacting the lives of LGBT older adults. The increasing prevalence of HIV among gay and bisexual older men, although rarely acknowledged, is also contributing to challenges facing LGBT older adults and their families. China, one of the most populous countries in the world, has an estimated 1.

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