The spiritual resources of those aging with HIV can also help facilitate whether one is aging successfully. In a sample of 50 aging adults with HIV, Vance found that 72 % indicated their spirituality changed after being diagnosed. On further questioning, 44 % indicated they considered their HIV to be a blessing. Many participants commented that they realized once they were HIV positive, that this was a “wake up call” for them to live life better in every way . As a result, many used their HIV diagnosis to improve their live by reducing/ceasing substance use, going back to school, or seeking a deeper relationship with God. As a result, it was not surprising to see that those who considered HIV to be a blessing and those whose spirituality changed as a result of being diagnosed indicated that that they were aging more successfully than those who did not see HIV as a blessing. For those who are LGBT, this change in spirituality may be more pronounced, as many have to break away from the beliefs of their family concerning their sexual orientation, HIV diagnosis, or both. In fact, Cotton et al. Remarked in their study that as many as 25 % of those with HIV felt alienated from their place of worship due to HIV-related stigma and 10 % switched their place of worship. Furthermore, Brennan, Strauss, and Karpiak (2010) found that in older adults with HIV, less than 50% reveal their serostatus to those in their congregation and 15% report attending religious services less. Given the social and personal benefits of engaging in one’s faith as well as the effect of HIV in the LGBT community, these bio psychosocial and spiritual trends in older adults with HIV deserve consideration in the topic of LGBT aging.