1. Introduction
Sexual minorities (individuals with some degree of same-sex sexual attraction or behavior) are often faced with external and internal pressures to adhere to heterosexual norms. Such pressures have been linked to a variety of adverse mental health outcomes, including increased stress (
Meyer 2003), anxiety, and depression (
Escher et al. 2019;
Shilo et al. 2016), as well as relationship difficulties including a decrease in perceived social support (
Ryan et al. 2009). Many sexual minorities thus opt to conceal their sexual identity from others in an effort to avoid these pressures.
Concealment efforts are most often undertaken in an attempt to protect oneself from potential experiences of prejudice, harassment, and violence from others (
Newheiser et al. 2017). Unfortunately, concealment efforts empirically tend to lead to insidious outcomes for sexual minorities; for example, concealment is consistently linked with an increase in ill-being (e.g., depression, anxiety, suicidal thoughts) and a decrease in well-being (e.g., life satisfaction, social belongingness;
Livingston et al. 2020). Minority stress theory (
Meyer 2003) offers one explanation for this phenomenon; sexual minorities experience stressors that are specific to their marginalized identities in addition to general life stressors, such as work-related concerns or illnesses. Sexual minorities often conceal their sexual identities in an effort to avoid some of these stressors (e.g., prejudice, discrimination). Although sexual minorities who conceal often avoid some degree of external stressors (
Livingston et al. 2020), their efforts to conceal are inherently stressful and linked to adverse outcomes such as a sense of disconnection, loneliness, and emotional distress (
Kissil and Itzhaky 2015;
Shilo et al. 2016).
As part of a natural developmental process, many sexual minorities become attuned to societal pressures to conform to heterosexual norms when they begin to understand their own identity (
Pachankis et al. 2020). Thus, many sexual minorities conceal their identity from others, particularly when they are first coming to terms with their own sexuality (
Baiocco et al. 2020). Sexual minorities are more likely to conceal their identity when they believe others will respond negatively to their sexual identity; it is therefore unsurprising that over half of sexual minorities in less-affirming religions conceal their identities, particularly early in their sexual identity development (
Shilo et al. 2016;
Suen and Chan 2020). Although many sexual minorities ultimately choose to disclose their identity to others (i.e., “come out”), not all follow this trajectory, and those that do sometimes continue to experience the adverse effects of disconnection and social isolation resulting from their concealment (
Duncan et al. 2019). Considering the adverse and sometimes lasting effects of concealment on sexual minorities’ social and mental health, the current study seeks to elucidate factors influencing concealment efforts among sexual minorities, looking specifically at the effects of social support and religiousness on concealment.
2. Understanding Concealment from a Relational-Cultural Theory Perspective
Relational-cultural theory (RCT) is a relatively novel theoretical basis for how sexual minorities may be adversely affected by concealing their identity. RCT is built on the assumption that social disconnection is the issue underlying psychological distress, and that authentic connection with others must be viewed within the context of identities and the culture in which those social connections develop (
Jordan 2017). The central relational paradox of RCT posits that human beings crave relationships and belongingness, but often develop “strategies of disconnection” to hide and reject parts of themselves that they see as unlovable or leading to shame.
Jordan (
2017) specifically noted that authenticity is a necessary component of social connection, and that genuine and beneficial relationships cannot exist without it.
Sexual minorities may be particularly at risk for adverse mental health outcomes when concealing their sexual identity from others. Identity concealment may be understood as a natural attempt to “fit in” with heterosexual individuals and systems, which paradoxically keeps sexual minorities from fully connecting to others. Even when sexual minorities are “out” to their sexual or romantic partners, they may continue to avoid conversations regarding their identity and relationship to others in an effort to avoid social shame or stigmatization. Although often well-intentioned and dependent on context, such identity concealment may be putting their sense of social support and connection at risk (
Jordan 2017;
Shilo et al. 2016). Indeed, this strategy appears to contribute to an array of difficulties (e.g., depression, anxiety;
Kissil and Itzhaky 2015;
Livingston et al. 2020). From an RCT perspective, these associations between concealment and adverse mental health outcomes may not be solely due to the difficulties and stress of concealment efforts, but also to the adverse effects of lacking genuine social connection and mutually growth-fostering relationships (
Jordan 2017).
Authenticity and social support are vital components to overall well-being and may be threatened by concealment efforts. Authenticity consists of presenting as one’s true or core self in day-to-day life (
Goldman and Kernis 2002), and is inherently avoided when sexual minorities choose to conceal their identity (
Bränström and Pachankis 2021;
Newheiser and Barreto 2014). Authentic behaviors are linked to increased social support and connection, which in turn boast a myriad of benefits across aspects of well-being (e.g., increased satisfaction with life, decreased depression;
Legate et al. 2012;
Solomon et al. 2015). Although the importance of both authenticity and social support on mental health is clear, it is less clear
how these factors relate to concealment. Concealment efforts are inherently inauthentic and lead to decreased social support, but it is less clear if having a more general sense of authenticity and social support from others can protect against concealment. As such, the present study seeks to better understand how authenticity and social support may affect sexual minorities’ concealment efforts.
3. Latter-Day Saint Sexual Minorities and Concealment Efforts
In understanding when concealment efforts happen, context must also be taken into account (
Rosati et al. 2020). Many sexual minorities conceal their sexual identity from others as a way to avoid potential rejection and discrimination, which both anecdotally and quantitatively occurs more frequently in religious spaces (e.g.,
Lassiter et al. 2019). Concealment in religious spaces or with religious people often persists due to sexual minorities’ concern that, even when they feel a part of the religious community, they will no longer be accepted if they disclose their identity to others. This pattern occurs more frequently in religions that do not affirm same-gender sexual behaviors (e.g., Mainline Protestant, Orthodox Judaism, Latter-day Saints, Islam;
Masci and Lipka 2015). Religiously motivated concealment has the same adverse effects as general concealment, with religious sexual minorities reporting greater feelings of isolation, depression, distress, and substance abuse (
Escher et al. 2019;
Kissil and Itzhaky 2015;
Shilo et al. 2016). Religious sexual minorities who ultimately disclose their identities to others also sometimes report increased minority stressors such as discrimination and internalized stigma (
Russell and Fish 2016), which may be why many religious sexual minorities continue to conceal their identity despite the adverse outcomes. However, coming out as a religious sexual minority may be a natural part of identity development and boasts a variety of potential benefits, including enhanced social support, increased self-esteem and self-acceptance, and decreased depression (
Skidmore et al. 2022b;
Vaughan and Waehler 2010). Ultimately, religious sexual minorities may benefit from disclosing their identity to others, including their religious communities, assuming the responses to such disclosure do not include rejection, victimization, or discrimination.
The Church of Jesus Christ of Latter-day Saints (colloquially known as the “Mormon” church) is a conservative Christian denomination that has historically discouraged same-gender sexual behaviors. Although the religion has made shifts away from condemning same-gender
attraction, members who engage in same-gender sexual behaviors both in and out of marriage are subject to membership restrictions (
Church of Jesus Christ of Latter-day Saints 2016). Latter-day Saint (LDS) sexual minorities often choose to conceal their sexual identity from others, particularly in religious spaces, in an effort to avoid membership consequences in addition to potential discrimination or ostracization (
Skidmore et al. 2022b). Such religiously motivated concealment relates to worsened mental health and social isolation (
Stammwitz and Wessler 2021), with LDS sexual minorities who are more committed to their religion reporting more concealment of their identity (e.g.,
Skidmore et al. 2022a). Further, religious commitment relates to an increase in feelings of social support and belongingness among fellow religious family and community members (e.g.,
Meanley et al. 2016;
Skidmore et al. 2022a). The relationship between authenticity and religious commitment is less clear for LDS sexual minorities given the paucity of research in this area. Among the general population, authenticity relates to various aspects of well-being for religious individuals, although such relationships appear to look different across different groups within religions (
Ariza-Montes et al. 2017). Although authenticity’s relation with well-being is less clear for religious sexual minorities, authenticity seems to largely moderate the relationship between religiousness and a variety of other outcomes, suggesting that authenticity may also moderate how religiousness relates to concealment efforts. Taken together, both religious affiliation generally and religious commitment specifically appear to directly influence concealment efforts for sexual minorities.
4. Current Study
In the present study, we build off minority stress theory and relational-cultural theory to elucidate how religiousness and relational-cultural components relate to concealment. Given that many LDS sexual minorities opt to conceal their sexual identity from others, we use a sample of current and former LDS sexual minorities to assess this relationship. We first examine the amount of variance that can be accounted for in concealment by current religious affiliation (RQ1). We then examine whether aspects of religiousness and RCT (religious commitment, authenticity, and social support) affect sexual minorities’ frequency of concealing (RQ2). Based on our review of the literature, we make the following hypotheses:
H1: A substantial proportion of variation in concealment will be accounted for by current religious tradition.
H2: Social support and authenticity will relate to decreased concealment, whereas religious commitment will relate to increased concealment.
H3: Authenticity will moderate the relationship between religious commitment and concealment, such that sexual minorities who are more authentic will evidence less concealment even when highly religiously committed.
6. Results
Descriptive statistics and correlations between variables of interest are presented in
Table 2. Overall, participants indicated low levels of Concealment and moderate levels of Religious Commitment, and moderate to high levels of Authenticity and Social Support. Variables related to Relational Cultural Theory (i.e., Authenticity and Social Support) evidenced a moderate degree of intercorrelation (
r = 0.35), whereas Religious Commitment did not directly correlate with other independent variables.
To determine if sample characteristics should be included as covariates, demographic variables were grouped into binary categories due to sample size. For example, race/ethnicity (White vs. Person of Color), gender identity (Ciswoman vs. Cisman vs. Transgender/Non-Binary), sexual orientation (Monosexual vs. Plurisexual). Age remained as a continuous variable. Independent samples t-tests indicated that race/ethnicity and sexual orientation were not related to any study variable and therefore, not included as controls in our analyses.
Regression analyses indicated that Age was significantly related to Concealment (b = −1.53, SE = 0.67, p < 0.05), Religious Commitment (b = 1.68, SE = 0.59, p < 0.01), Social Support (b = −3.32, SE = 0.62, p < 0.01), and Authenticity (b = 3.31, SE = 0.68, p < 0.01). Analyses of variance suggested significant differences in Gender (Cisgender vs. Transgender/Gender Non-binary; TGNB) for Concealment, F = 4.30, p < 0.01, and for Religious Commitment, F = 6.33, p < 0.01. As such, we dichotomized Gender (Cisgender vs. TGNB) and included this variable as a covariate in our regression analyses alongside Age.
Analysis of the null model demonstrated an ICC of 0.517, indicating that 51.7% of the variance in Concealment scores can be attributed to the group (Religion) level. Concealment scores range on average across different religious affiliations, with Pentecostal sexual minorities reporting the highest degree of concealment (M = 3.53, SD = 0.96), followed by Protestant sexual minorities (M = 2.46, SD = 0.80), then LDS sexual minorities (M = 1.83, SD = 0.89), sexual minorities from other religions (M = 1.61, SD = 0.69), and sexual minorities who do not affiliate with any religion (M = 1.52, SD = 0.57).
See
Table 3 for full multilevel modeling regression analyses. Multilevel modeling analyses indicated that, of our covariates, only gender identity significantly related to Concealment (b = 0.31,
SE = 0.09,
p < 0.01), suggesting that TGNB sexual minorities are more likely than cisgender sexual minorities to conceal their identities across religions. Of our main study variables, Religious Commitment strongly related to an increase in Concealment (b = 0.77,
SE = 0.16,
p < 0.01), whereas Social Support was related to a decrease in Concealment (b = −0.14,
SE = 0.03,
p < 0.05). Further, Authenticity significantly moderated the relationship between Religious Commitment and Concealment (b = −0.14,
SE = 0.03,
p < 0.01), such that, as Religious Commitment increases, sexual minorities who report high Authenticity also report less Concealment, whereas sexual minorities who report low Authenticity also report more Concealment (See
Figure 1).
7. Discussion
Findings from the present study suggest that various aspects of religiousness and relational-cultural theory (RCT) are each associated with concealment efforts among a sample of 392 current and former Latter-day Saint (LDS) sexual minorities. Correlations between study variables indicated that participants who reported more religious commitment also reported greater concealment behaviors. In contrast, participants who endorsed a greater degree of authenticity and social support reported decreased concealment efforts. These patterns were further supported by results of subsequent regression analyses. After controlling for the effects of gender and age, multilevel regression analysis revealed that 51.7% of the variance in concealment efforts among participants can be explained by current religious affiliation. Finally, regression analyses revealed that authenticity moderates the relationship between religious commitment and concealment, suggesting that authenticity may act as a protective factor against proximal minority stress for highly religious sexual minorities.
7.1. The Influence of Religion on Concealment
We found that a substantial amount of variance in concealment efforts (51.7%) can be attributed to religious affiliation. As expected, not affiliating with any religion was associated with the lowest degree of concealment (
Lassiter et al. 2019). In contrast, Pentecostal participants reported the highest degree of concealment, followed by Protestant and current LDS participants. This is likely due to the potential threats of being open about one’s sexual identity in a religious environment that does not affirm such identities (
Shilo et al. 2016). Sexual minorities who are open about their identities in less-affirming religious contexts often face discrimination, rejection, and even violence (
Skidmore et al. 2023;
Suen and Chan 2020). Thus, despite the distress typically associated with concealment efforts, the potential threats of openly identifying as a sexual minority in these contexts may seem to outweigh the consequences of concealment for sexual minorities in less-affirming religions. Alternatively, some religious sexual minorities may prioritize a continued sense of belonging to their religious group over authentic expression of their sexual identity, as is common for LDS sexual minorities (
Skidmore et al. 2022a). Religion and sexual orientation are each important components of an individuals’ identity and navigating potentially conflicting aspects of identity is rarely straightforward. Indeed, almost half of sexual minorities identify as religious, with nearly half of these affiliating with denominations that do not affirm same-gender sexual identities (
Williams Institute 2020). While concealment may still be associated with various health risks for sexual minorities in less-affirming religions such as the Church of Jesus Christ of Latter-day Saints (e.g.,
Legate et al. 2012;
Shilo et al. 2016;
Skidmore et al. 2022a), it is possible that the threats to belonging to one’s religious community are not worth the benefits of being open about one’s identity for some sexual minorities.
As expected, religious commitment was consistently associated with greater concealment efforts among participants. Maintaining a sense of belonging to one’s religious community may feel more important to sexual minorities who are highly committed to their religion (
Skidmore et al. 2022a), potentially even more so than authentic expression of their sexual identity. Furthermore, highly religiously committed individuals tend to be more involved in their religious communities and feel a greater sense of social support and belongingness from religious family and peers (
Skidmore et al. 2022a,
2023). As such, highly religiously committed sexual minorities may be more likely to conceal their identities in order to maintain connection with religious peers, who might view their identities as sinful (
Lassiter et al. 2019;
Rosati et al. 2020). From a minority stress perspective, increased concealment behaviors among highly religious sexual minorities may also result from experiences of internalized stigma, which are more prevalent among sexual minorities in less-affirming religions (
Meyer 2003;
Masci and Lipka 2015). Highly religiously committed SMs may feel more conflicted about the acceptability of their sexual identities—particularly in the context of a religion that does not affirm sexual minority identities—and may thus be more likely to conceal their identities due to feelings of shame or embarrassment.
Taken together, these findings suggest that a sexual minority’s personal commitment to their religion in addition to the specific religion with which they affiliate may influence concealment efforts. Despite the distress and various health risks associated with concealment, concealment may also be a protective factor for highly religious sexual minorities, as it can protect against experiences of discrimination or rejection while also allowing an individual to maintain a sense of belongingness and connection to their religious community (
Livingston et al. 2020).
7.2. The Impact of Relational Cultural Factors on Concealment
As expected, we found that sexual minorities who reported more support from others also reported decreased concealment behaviors. There are several potential explanations for this phenomenon. RCT posits that social connection contributes to psychological wellness, and that social connections cannot be understood outside the context of identities and the culture in which those social connections develop (
Jordan 2017). Therefore, it follows that increased social support for sexual minorities, particularly religious sexual minorities, relates to a decrease in concealment efforts, which are inherently disconnecting. Further, social support relates to increase in outness (
Rosati et al. 2020), suggesting that sexual minorities who feel more supported by those around them are more likely to disclose their identity, thereby further increasing connection, support, and authenticity.
Outside of the desire to connect, sexual minorities may engage in less concealment efforts due to the other beneficial effects of social support. Sexual minorities who feel supported by their families and/or peers are better equipped to handle the potential stressors associated with coming out (e.g., discrimination, prejudice, rejection;
Li and Samp 2019). These stressors are more prevalent among religious communities (
Shilo et al. 2016;
Suen and Chan 2020), suggesting that religious sexual minorities may be particularly in need of a sense of social support in order to decrease concealment efforts. Heightened social support may also lend sexual minorities more people to whom they feel close, thus providing additional opportunities to “test” coming out in a way that feels less threatening. Such positive initial coming out experiences lead sexual minorities to be more comfortable and confident in coming out to additional people (
Li and Samp 2019). Therefore, sexual minorities who come out first to those with whom they feel supported are more likely to continue to decrease in concealment efforts.
Social support may have further influenced sexual minorities considering its relation to authenticity. Social support and authenticity were moderately correlated to one another, which may explain in part the significant correlation but lack of direct main effect between authenticity and concealment.
Jordan (
2017) notes that authenticity is a necessary component of social connection, and that genuine and beneficial relationships cannot exist without it. She further notes that authenticity may be put aside in an effort to avoid shame or stigma from others (e.g., concealment efforts), suggesting that concealment efforts are often intended to protect sexual minorities, but are inherently inauthentic and lead to increased suffering via decreased social connection (
Jordan 2017). Sexual minorities who have a strong sense of social support likely feel that they are better able to be authentic in relationships when they already feel supported. Inauthenticity may thus be more likely among people who have yet to shed these strategies of disconnection due to concerns that authentic vulnerability may harm their relationships (
Shilo et al. 2016). Taken together, authenticity may be tied with social support with how it influences sexual minorities’ concealment efforts; sexual minorities who have a support system are more likely to act authentically (avoid concealment efforts), and sexual minorities who lack a support system are less likely to act authenticity (engage in concealment efforts), thereby maintaining their feelings of disconnection and associated distress (
Jordan 2017).
Authenticity further relates to concealment efforts by moderating the way in which religious commitment leads to concealment. Broadly speaking, concealment tends to feel worse for sexual minorities who are more authentic (
Bränström and Pachankis 2021;
Newheiser and Barreto 2014), likely due to the dissonance associated with wanting to be open regarding oneself but hiding one’s sexual identity from others. Thus, for religious sexual minorities who act inauthentically, their commitment to their religion may be leading them to engage in more concealment efforts as a counter-effective strategy to connect with religious others (i.e., central relational paradox;
Jordan 2017). Conversely, religious sexual minorities who act more authentically are less likely to engage in concealment efforts, particularly when they are more religiously committed. This opposite effect may be viewed as authentic religious sexual minorities’ method for connecting with their religious communities. Indeed, religious sexual minorities who are out to their religious communities experience a myriad of benefits, even when accounting for an increase in distal stressors (e.g., increased self-esteem, self-acceptance, belongingness, and life satisfaction;
Li and Samp 2019;
Perrin-Wallqvist and Lindblom 2015;
Skidmore et al. 2022b;
Stuhlsatz et al. 2021). Although all religious sexual minorities may be acting in a way that they believe improves their well-being, it appears that only religious sexual minorities who are most authentic choose not to engage in many concealment efforts, thereby avoiding the array of difficulties that concealment efforts bring (
Kissil and Itzhaky 2015;
Livingston et al. 2020).
7.3. Implications and Limitations
The findings of this research have implications both for research and for informing theory. The current study adds to the growing body of literature demonstrating that, while concealment efforts are undertaken by most sexual minorities, concealment appears to be more common among sexual minorities in religions. Notably, sexual minorities in less-affirming religions and those who are committed to their religion and are less authentic are particularly likely to conceal their identity from others. Future studies may help further elucidate these trends and the associated relationship outcomes associated with such concealment efforts between religions. The current study also demonstrates that authenticity may be a potent influence in how religiousness relates to concealment, such that not all religious sexual minorities choose to conceal their identity, particularly when sexual minorities are more authentic. Given that both concealment and authenticity may change over time, longitudinal studies aimed identifying the ways in which concealment and authenticity change over time for religious sexual minorities may help better define and distinguish these trends.
Findings also have implications for further understanding of theory. RCT is a relatively new theory that specifically notes the importance of context and identity in relationships (
Jordan 2017). As such, the present study adds to RCT by demonstrating that sexual minorities—including religious sexual minorities—appear to experience specific threats to connection and authentic relationships, due in part to concealment efforts in order to “fit in’ with their religious communities. Further, the present study suggests that authenticity may not directly influence concealment, suggesting that having authentic relationships with others may not be directly related to whether or not one is concealing their identity broadly speaking, although authentic relationships are likely more difficult to maintain when a sexual minority is concealing their identity from the person with whom they have a relationship.
The present study was limited by several factors relating to sampling and measures. Our sample was drawn from a larger study of current and former LDS sexual minorities. Thus, all participants in this sample were at one point affiliated with this religion, which may have influenced our results. Further, our sample was not evenly distributed between different religious affiliations and is missing many potential affiliations, thus rendering our generalizability limited. The authors are conducting a secondary study using a more extensive distribution of sexual minorities across a variety of religious affiliations in order to improve the generalizability of these results. Finally, our measures were limited in their applicability to RCT. Although authenticity and social support are important components of RCT, we did not have measures regarding other key components of RCT such as growth-fostering relationships and a sense of connection. Additional research is needed in order to analyze these variables among a less biased group of religious sexual minorities to better understand the potential associations and interactions of study variables.