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Disclosure of Sexual Identities Across Social-Relational Contexts: Findings from a National Sample of Black Sexual Minority Men

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Abstract

Black sexual minority men (BSMM) in the USA navigate a range of factors that may influence the extent to which they disclose or conceal their sexual identity in various social contexts. To date, few studies have investigated the correlates of sexual identity disclosure or concealment among BSMM across multiple life domains. Guided by a minority stress perspective and intersectionality, we analyzed data from N = 809 BSMM who participated in the Social Justice Sexuality Survey. We conducted ordinary least squares regression to examine the relative weight of perceptions of homophobia, religiosity, LGBT community connectedness, racial identity salience, and sexual identity salience on disclosure of sexual identity in six social-relational contexts: (1) family, (2) friends, (3) neighbors, (4) religious community, (5) work, and (6) online. Findings indicate that BSMM disclosed their sexual identity unevenly across social-relational contexts. Notably, LGBTQ community connectedness and sexual identity importance were consistent predictors of sexual identity disclosure across contexts. In contrast, perceptions of homophobia were not related to sexual identity disclosure, suggesting that other factors may be more salient for BSMM when deciding to disclose their sexual identity. Finally, bisexual men consistently reported lower levels of sexual identity disclosure relative to gay men in all six contexts. Study findings have important implications for future research on sexual identity disclosure with diverse samples of BSMM.

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References

  1. Katz-Wise SL, Rosario M, Calzo JP, Scherer EA, Sarda V, Austin SB. Endorsement and timing of sexual orientation developmental milestones among sexual minority young adults in the Growing Up Today Study. J Sex Res. 2017;54(2):172–85.

    Article  PubMed  Google Scholar 

  2. Legate N, Ryan WS. Autonomy support as acceptance for disclosing and developing a healthy lesbian, gay, bisexual or transgendered identity. In: Weinstein N, editor. Human motivation and interpersonal relationships: Theory, research, and applications. London: Springer Publications; 2014. p. 191–212.

    Chapter  Google Scholar 

  3. Legate N, Ryan RM, Weinstein N. Is coming out always a “good thing”? Exploring the relations of autonomy support, outness, and wellness for lesbian, gay, and bisexual individuals. Soc Psychol Personal Sci. 2012;3(2):145–52.

    Article  Google Scholar 

  4. Matthews CH, Salazar CF. An integrative, empowerment model for helping lesbian, gay, and bisexual youth negotiate the coming-out process. J LGBT Issues Couns. 2012;6(2):96–117.

    Article  Google Scholar 

  5. Rivers I, Gonzalez C, Nodin N, Peel E, Tyler A. LGBT people and suicidality in youth: a qualitative study of perceptions of risk and protective circumstances. Soc Sci Med. 2018;212:1–8.

    Article  PubMed  Google Scholar 

  6. McCann E, Brown M. Homelessness among youth who identify as LGBTQ+: a systematic review. J Clin Nurs. 2019;28(11–12):2061–72.

    Article  PubMed  Google Scholar 

  7. Robinson BA. Conditional families and lesbian, gay, bisexual, transgender, and queer youth homelessness: gender, sexuality, family instability, and rejection. J Marriage Fam. 2018;80(2):383–96.

    Article  Google Scholar 

  8. Russell ST, Toomey RB, Ryan C, Diaz RM. Being out at school: the implications for school victimization and young adult adjustment. Am J Orthop. 2014;84(6):635–43.

    Article  Google Scholar 

  9. LaSala MC. Coming out, coming home: helping families adjust to a gay or lesbian child. Columbia University Press. 2010.

  10. Dragowski EA, Halkitis PN, Grossman AH, D’Augelli AR. Sexual orientation victimization and posttraumatic stress symptoms among lesbian, gay, and bisexual youth. J Gay Lesbian Soc Serv. 2011;23(2):226–49.

    Article  Google Scholar 

  11. Russell ST, Toomey RB. Risk and protective factors for suicidal thoughts among sexual minority youth: evidence from the Add Health study. J Gay Lesbian Ment Health. 2013;17(2):132–49.

    Article  Google Scholar 

  12. Wade RM, Harper GW. Young Black gay/bisexual and other men who have sex with men: a review and content analysis of health-focused research between 1988 and 2013. Am J Mens Health. 2017;11(5):1388–405.

    Article  PubMed  Google Scholar 

  13. Ryan WS, Legate N, Weinstein N. Coming out as lesbian, gay, or bisexual: the lasting impact of initial disclosure experiences. Self Identity. 2015;14(5):549–69.

    Article  Google Scholar 

  14. Riggle ED, Rostosky SS, Black WW, Rosenkrantz DE. Outness, concealment, and authenticity: associations with LGB individuals’ psychological distress and well-being. Psychol Sex Orientat Gend Divers. 2017;4(1):54–62.

    Article  Google Scholar 

  15. Friedman MR, Bukowski L, Eaton LA, Matthews DD, Dyer TV, Siconolfi D, et al. Psychosocial health disparities among black bisexual men in the US: effects of sexuality nondisclosure and gay community support. Arch Sex Behav. 2019;48(1):213–24.

    Article  PubMed  Google Scholar 

  16. Pastrana A Jr. It takes a family: an examination of outness among Black LGBT people in the United States. J Fam Issues. 2016;37(6):765–88.

    Article  Google Scholar 

  17. McGarrity LA, Huebner DM. Is being out about sexual orientation uniformly healthy? The moderating role of socioeconomic status in a prospective study of gay and bisexual men. Ann Behav Med. 2014;47(1):28–38.

    Article  PubMed  Google Scholar 

  18. Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003;129(5):674–97.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Meyer IH, Frost DM. Minority stress and the health of sexual minorities. In Patterson CJ,. D’Augelli AR, editors. Handbook of psychology and sexual orientation. 2013. Oxford University Press. pp. 252–66.

  20. Crenshaw, K. Demarginalizing the intersection of race and sex: a black feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics. U Chi Legal F. 1989; 139–67.

  21. Collins PH. Toward a new vision: race, class, and gender as categories of analysis and connection. Race, Sex, Class. 1993;1(1):25–45.

    Google Scholar 

  22. English D, Carter JA, Forbes N, Bowleg L, Malebranche DJ, Talan AJ, et al. Intersectional discrimination, positive feelings, and health indicators among Black sexual minority men. Health Psychol. 2020;39(3):220–9.

    Article  PubMed  PubMed Central  Google Scholar 

  23. LaSala MC, Frierson DT. African American gay youth and their families: redefining masculinity, coping with racism and homophobia. J GLBT Fam. 2012;8(5):428–45.

    Article  Google Scholar 

  24. Quinn K, Dickson-Gomez J, Kelly JA. The role of the Black Church in the lives of young Black men who have sex with men. Cult Health Sex. 2016;18(5):524–37.

    Article  PubMed  Google Scholar 

  25. Schrimshaw EW, Downing MJ, Cohn DJ. Reasons for non-disclosure of sexual orientation among behaviorally bisexual men: non-disclosure as stigma management. Arch Sex Behav. 2018;47(1):219–33.

    Article  PubMed  Google Scholar 

  26. Ragins BR, Singh R, Cornwell JM. Making the invisible visible: fear and disclosure of sexual orientation at work. J Applied Psychol. 2007;92(4):1103–18.

    Article  Google Scholar 

  27. Bailey MM. Butch queens up in pumps: gender, performance, and ballroom culture in Detroit. University of Michigan Press. 2013.

  28. Quinn K, Bowleg L, Dickson-Gomez J. “The fear of being Black plus the fear of being gay”: the effects of intersectional stigma on PrEP use among young Black gay, bisexual, and other men who have sex with men. Soc Sci Med. 2019;232:86–93.

    Article  PubMed  PubMed Central  Google Scholar 

  29. White JJ, Dangerfield DT, Donovan E, Miller D, Grieb SM. Exploring the role of LGBT-affirming churches in health promotion for Black sexual minority men. Cult Health Sex. 2019;22(10):1–16.

    Google Scholar 

  30. Winder TJ. “Shouting it out”: religion and the development of Black gay identities. Qual Sociol. 2015; 38(4):375–94.

  31. Konrad CL. This is where we live: queering poor urban spaces in literature of black gay men. Gender Place Cult. 2014;21(3):337–52.

    Article  Google Scholar 

  32. Winder TJ, Lea CH. “Blocking” and “filtering”: a commentary on mobile technology, racism, and the sexual networks of young black MSM (YBMSM). J Racial Ethn Health Disparities. 2019; 6(2):231–36.

  33. Lewis DC, Flores AR, Haider-Markel DP, Miller PR, Tadlock BL, Taylor JK. Degrees of acceptance: variation in public attitudes toward segments of the LGBT community. Polit Res Quart. 2017;70(4):861–75.

    Article  Google Scholar 

  34. Hill MJ. Is the Black community more homophobic?: reflections on the intersectionality of race, class, gender, culture and religiosity of the perception of homophobia in the Black community. J Gay Lesbian Ment Health. 2013;17(2):208–14.

    Article  Google Scholar 

  35. Icard LD, Nurius PS. Loss of self in coming out: special risks for African American gays and lesbians. J Loss Trauma. 1996;1(1):29–47.

    Google Scholar 

  36. Ward EG. Homophobia, hypermasculinity and the US black church. Cult Health Sex. 2005;7(5):493–504.

    Article  PubMed  Google Scholar 

  37. Buttaro A Jr, Battle J. More than meets the eye: an ecological perspective on homophobia within the Black America. BWGF. 2012;6(1):1–22.

    Google Scholar 

  38. Anderson-Carpenter KD, Sauter HM, Luiggi-Hernández JG, Haight PE. Associations between perceived homophobia, community connectedness, and having a primary care provider among gay and bisexual men. Sex Res and Soc Policy. 2019;16(3):309–16.

    Article  Google Scholar 

  39. Frost DM, Meyer IH, Schwartz S. Social support networks among diverse sexual minority populations. Am J Orthop. 2016;86(1):91–102.

    Article  Google Scholar 

  40. Puckett JA, Woodward EN, Mereish EH, Pantalone DW. Parental rejection following sexual orientation disclosure: impact on internalized homophobia, social support, and mental health. LGBT Health. 2015;2(3):265–9.

    Article  PubMed  Google Scholar 

  41. Solomon D, McAbee J, Åsberg K, McGee A. Coming out and the potential for growth in sexual minorities: the role of social reactions and internalized homonegativity. J Homosex. 2015;62(11):1512–38.

    Article  PubMed  Google Scholar 

  42. Parmenter JG, Galliher RV, Maughan AD. An exploration of LGBTQ+ community members’ positive perceptions of LGBTQ+ culture. Couns Psychol. 2020;48(7):1016–47.

    Article  Google Scholar 

  43. Gray ML. Negotiating identities/queering desires: coming out online and the remediation of the coming-out story. J Comput Mediat Commun. 2009;14(4):1162–89.

    Article  Google Scholar 

  44. Barnes SL, Hollingsworth C. Spirituality and social media: the search for support among Black men who have sex with men in Tennessee. J Homosex. 2020;67(1):79–103.

    Article  PubMed  Google Scholar 

  45. Grov C, Breslow AS, Newcomb ME, Rosenberger JG, Bauermeister JA. Gay and bisexual men's use of the internet: research from the 1990s through 2013. J Sex Res. 2014;51(4):390–409.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Abreu RL, Kenny MC. Cyberbullying and LGBTQ youth: a systematic literature review and recommendations for prevention and intervention. J Child Adolesc Trauma. 2018;11(1):81–97.

    Article  PubMed  Google Scholar 

  47. Dacus JD, Voisin DR, Barker J. “Proud I am negative”: maintaining HIV-seronegativity among Black MSM in New York City. Men Masc. 2018; 21(2):276–90.

  48. Watkins TL, Simpson C, Cofield SS, Davies S, Kohler C, Usdan S. The relationship between HIV risk, high-risk behavior, religiosity, and spirituality among Black men who have sex with men (MSM): an exploratory study. J Relig Health. 2016;55(2):535–48.

    Article  PubMed  Google Scholar 

  49. Balaji AB, Oster AM, Viall AH, Heffelfinger JD, Mena LA, Toledo CA. Role flexing: how community, religion, and family shape the experiences of young black men who have sex with men. AIDS Patient Care STDs. 2012;26(12):730–7.

    Article  PubMed  Google Scholar 

  50. Pingel ES, Bauermeister JA. ‘Church hurt can be the worst hurt’: community stakeholder perceptions of the role of Black churches in HIV prevention among young Black gay and bisexual men. Cult Health Sex. 2018; 20(2):218–31.

  51. Lassiter JM, Brewer R, Wilton L. Black sexual minority men’s disclosure of sexual orientation is associated with exposure to homonegative religious messages. Am J Mens Health. 2019;13(1):1–11.

    Article  Google Scholar 

  52. Corrigan P, Matthews A. Stigma and disclosure: Implications for coming out of the closet. J Ment Health. 2003;12(3):235–48.

    Article  Google Scholar 

  53. Kavanaugh SA, Taylor AB, Stuhlsatz GL, Neppl TK, Lohman BJ. Family and community support among sexual minorities of color: the role of sexual minority identity prominence and outness on psychological well-being. J GLBT Fam Stud. 2020;16(1):1–17.

    Article  Google Scholar 

  54. Quinn DM, Chaudoir SR. Living with a concealable stigmatized identity: the impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and health. J Pers Soc Psychol. 2009;97(4):634–51.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Powell W, Adams LB, Cole-Lewis Y, Agyemang A, Upton RD. Masculinity and race-related factors as barriers to health help-seeking among African American men. J Behav Med. 2016;42(3):150–63.

    Article  Google Scholar 

  56. Hunter MA. All the gays are White and all the Blacks are straight: Black gay men, identity, and community. Sex Res Soc Policy. 2010;7(2):81–92.

    Article  Google Scholar 

  57. Bartone MD. “Nothing has stopped me. I keep going:” Black gay narratives. J LGBT Youth. 2017;14(3):317–29.

    Article  Google Scholar 

  58. Institute of Medicine [IOM]. The health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding. 2011. Washington, DC: National Academies Press.

  59. Lim G, Hewitt B. Discrimination at the intersections: experiences of community and belonging in nonmonosexual persons of color. J Bisexuality. 2018;18(3):318–52.

    Article  Google Scholar 

  60. Haile R, Rowell-Cunsolo TL, Parker EA, Padilla MB, Hansen NB. An empirical test of racial/ethnic differences in perceived racism and affiliation with the gay community: implications for HIV risk. J Soc Issues. 2014;70(2):342–59.

    Article  Google Scholar 

  61. Wade RM, Harper GW. Racialized sexual discrimination (RSD) in the age of online sexual networking: are young Black gay/bisexual men (YBGBM) at elevated risk for adverse psychological health? Am J Commun Psychol. 2020;65(3–4):504–23.

    Article  Google Scholar 

  62. Arnold EA, Bailey MM. Constructing home and family: how the ballroom community supports African American GLBTQ youth in the face of HIV/AIDS. J Gay Lesb Soc Serv. 2009;21(2–3):171–88.

    Article  Google Scholar 

  63. Swank E, Fahs B, Frost DM. Region, social identities, and disclosure practices as predictors of heterosexist discrimination against sexual minorities in the United States. Sociol Inq. 2013;83(2):238–58.

    Article  Google Scholar 

  64. Keene, DE, Eldahan AI, White Hughto JM, Pachankis JE. ‘The big ole gay express’: sexual minority stigma, mobility and health in the small city. Cult Health Sex. 2017;19(3):381–94.

  65. Mulick PS, Wright LW Jr. The biphobia scale a decade later: reflections and additions. J Bisexuality. 2011;11(4):453–7.

    Article  Google Scholar 

  66. Shih M. Positive stigma: examining resilience and empowerment in overcoming stigma. Ann Am Acad Pol Soc Sci. 2004;591(1):175–85.

    Article  Google Scholar 

  67. Barry MC, Threats M, Blackburn NA, LeGrand S, Dong W, Pulley DV, et al. “Stay strong! keep ya head up! move on! it gets better!!!!”: resilience processes in the healthMpowerment online intervention of young black gay, bisexual and other men who have sex with men. AIDS Care. 2018; 30(S5):S27–38.

  68. Johnson EP. Sweet tea: Black gay men of the south. 2011. University of North Carolina Press.

  69. Battle J, Pastrana AJ, & Daniels J. Social justice sexuality project: 2010 national survey, including Puerto Rico. Ann Arbor, MI: Inter-university Consortium for Political and Social Research. 2013; 08–09.

  70. StataCorp. Stata Statistical Software: Release 13. College Station: StataCorp LP; 2013.

    Google Scholar 

  71. White IR, Royston P, Wood AM. Multiple imputation using chained equations: issues and guidance for practice. Stat Med. 2011;30(4):377–99.

    Article  Google Scholar 

  72. Royston P, White IR. Multiple imputation by chained equations (MICE): implementation in Stata. J Stat Softw. 2011;45(4):1–20.

    Article  Google Scholar 

  73. Rubin DB. Multiple imputation for nonresponse in surveys (Vol. 81). John Wiley & Sons. 2004.

  74. Harel O. The estimation of R2 and adjusted R2 in incomplete data sets using multiple imputation. J Appl Stat. 2009;36(10):1109–18.

    Article  Google Scholar 

  75. Jaccard J, Guilamo-Ramos V. Analysis of variance frameworks in clinical child and adolescent psychology: issues and recommendations. J Clin Child Adolesc Psychol. 2002;31(1):130–46.

    Article  PubMed  Google Scholar 

  76. Parmenter JG, Galliher RV, Yaugher AC, Maughan AD. Intersectionality and identity configurations: a qualitative study exploring sexual identity development among emerging adults in the United States. Emerg Adulthood. 2020; 1–14.

  77. Green AI. On the horns of a dilemma: institutional dimensions of the sexual career in a sample of middle-class, urban, Black, gay men. J Black Stud. 2007;37(5):753–74.

    Article  Google Scholar 

  78. Husbands W, Makoroka L, Walcott R, Adam BD, George C, Remis RS, et al. Black gay men as sexual subjects: race, racialisation and the social relations of sex among Black gay men in Toronto. Cult Health Sex. 2013;15(4):434–49.

    Article  PubMed  Google Scholar 

  79. Ajzen I, Fishbein M. Attitude-behavior relations: a theoretical analysis and review of empirical research. Psychol Bull. 1977;84(5):888–918.

    Article  Google Scholar 

  80. Hotton AL, Keene L, Corbin DE, Schneider J, Voisin DR. The relationship between Black and gay community involvement and HIV-related risk behaviors among Black men who have sex with men. J Gay Lesb Soc Serv. 2018;30(1):64–81.

    Article  Google Scholar 

  81. Miller RL. Legacy denied: African American gay men, AIDS, and the black church. Soc Work. 2007;52(1):51–61.

    Article  PubMed  Google Scholar 

  82. Phillips G, Feinstein BA, Levy M, Kuo I, Glick SN, Fields SD, et al. Changes in sexual and gender identity and their associations with internalized homophobia among Black men who have sex with men in the HPTN 061 BROTHERS Cohort. Arch Sex Behav. 2020;49(7):2375–87.

    Article  PubMed  PubMed Central  Google Scholar 

  83. Kegeles SM, Hays RB, Coates TJ. The Mpowerment Project: a community-level HIV prevention intervention for young gay men. Am J Public Health. 1996;86(8):1129–36.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  84. Wilton L, Herbst JH, Coury-Doniger P, Painter TM, English G, Alvarez ME, et al. Efficacy of an HIV/STI prevention intervention for black men who have sex with men: findings from the many men, many voices (3MV) project. AIDS Behav. 2009;13(3):532–44.

    Article  PubMed  Google Scholar 

  85. Young L, Schumm P, Alon L, Bouris A, Ferreira M, Hill BJ, et al. PrEP Chicago: a randomized controlled crossover peer change agent intervention to promote the adoption of pre-exposure prophylaxis for HIV prevention among young Black men who have sex with men. Clin Trials. 2017;15(1):44–52.

    Article  PubMed  PubMed Central  Google Scholar 

  86. Patel VV, Ginsburg Z, Golub SA, Horvath KJ, Rios N, Mayer KH, et al. Empowering with PrEP (E-PrEP), a peer-led social media–based intervention to facilitate HIV preexposure prophylaxis adoption among young Black and Latinx gay and bisexual men: protocol for a cluster randomized controlled trial. JMIR Res Protoc. 2018; 7(8):e11375.

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Funding

At the time of this study, the first author was supported by the NYU Center for Drug Use and HIV Research Pilot Projects and Mentoring Core. The NYU Center for Drug Use and HIV Research is funded by the National Institute on Drug Abuse.

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Correspondence to Lance C. Keene.

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Appendix

Appendix

Table 5 Pairwise correlations between study independent variables
Table 6 Variance inflation factors across study independent variables for each measure of disclosure

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Keene, L.C., Heath, R.D. & Bouris, A. Disclosure of Sexual Identities Across Social-Relational Contexts: Findings from a National Sample of Black Sexual Minority Men. J. Racial and Ethnic Health Disparities 9, 201–214 (2022). https://doi.org/10.1007/s40615-020-00944-y

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