Why is concealment associated with health and wellbeing? An investigation of potential mechanisms.

RATIONALE: Many members of stigmatized groups face health and wellbeing deficits relative to their non-stigmatized peers. Ample evidence suggests that one method used by some members of stigmatized groups to manage the stigma they face-concealing their stigmatized identities-may contribute to these health and wellbeing disparities. However, precisely why concealment may contribute to these disparities is less clear. OBJECTIVE: The present work seeks to identify and distinguish between plausible explanations for why concealment may contribute to worse health and wellbeing. METHODS: In the present work, we explore a large number of plausible mechanisms that may explain why concealment is associated with worse health and wellbeing. In three studies (N = 2304) using cross-sectional (Studies 1 and 2) and longitudinal (Study 3) methods, participants were recruited from an online recruitment pool (Studies 1-3) and from an institutional recruitment pool (Study 2). Participants reported on their concealment, health and wellbeing, and constructs related to plausible explanations for the relationships between concealment and health and wellbeing. RESULTS: We find that concealment is associated with worse health and wellbeing, with generally small effect sizes. We further find that lower feelings of belonging, less social support, and lower self-esteem are the most plausible mechanisms for explaining why concealment is associated with worse health and wellbeing. When between- and within-subjects effects were distinguishable (i.e., Study 3), we observed only between-subjects relationships. CONCLUSION: Because people's choices to engage in self-protection through concealment should be respected, potential avenues for intervention to reduce minority health disparities may be more appropriately targeted at the mechanisms that account for why concealment may undermine health and wellbeing than at concealment itself. The present work makes strides towards identifying those mechanisms and thus towards addressing them.

Identity Concealment May Discourage Health-Seeking Behaviors: Evidence From Sexual-Minority Men During the 2022 Global Mpox Outbreak.

People who conceal their stigmatized identities often experience worse physical health. One possibility for why is that concealment may render certain health-seeking behaviors more difficult. We tested this possibility during the 2022 global mpox outbreak, a public-health emergency that disproportionately affected sexual-minority men. We recruited adult sexual-minority men from Prolific at two time points near the outbreak's peak and attenuation (n = 864 and n = 685, respectively). We found that men who concealed their minority sexual orientations were less likely to (a) receive a vaccine to protect against mpox, (b) receive an mpox test, and (c) report having received an mpox vaccine. The relationship between concealment and vaccine receipt was serially mediated by reduced community connectedness and reduced knowledge of mpox resources. We call for thoughtful consideration of how to reach stigmatized groups with public-health resources, inclusive of those who conceal.

Which Identities Are Concealable? Individual Differences in Concealability.

Concealment is a common and consequential identity management strategy. But which identities are concealable? In three studies (n = 468; obs = 4,068), we find substantial individual differences in which identities people experience as concealable. These individual differences in concealability manifest as Person × Identity interactions, such that people experience varying levels of concealability for each of their individual identities. In two additional studies (n = 465; obs = 3,784), we find that these individual differences predict the frequency and efficacy of concealment. We conclude that it is inaccurate to label entire categories of identities as either concealable or conspicuous and urge intergroup researchers to consider people's unique experiences of concealability. Pre-registrations for Studies 1 to 4 and open materials, code, and data for all studies are available on the Open Science Framework: https://osf.io/m95qu/.

Where and with whom does a brief social-belonging intervention promote progress in college?

A promising way to mitigate inequality is by addressing students' worries about belonging. But where and with whom is this social-belonging intervention effective? Here we report a team-science randomized controlled experiment with 26,911 students at 22 diverse institutions. Results showed that the social-belonging intervention, administered online before college (in under 30 minutes), increased the rate at which students completed the first year as full-time students, especially among students in groups that had historically progressed at lower rates. The college context also mattered: The intervention was effective only when students' groups were afforded opportunities to belong. This study develops methods for understanding how student identities and contexts interact with interventions. It also shows that a low-cost, scalable intervention generalizes its effects to 749 4-year institutions in the United States.

Racial Demographics Explain the Link Between Racial Disparities in Traffic Stops and County-Level Racial Attitudes.

Disparities in the treatment of Black and White Americans in police stops are pernicious and widespread. We examined racial disparities in police traffic stops by leveraging data on hundreds of U.S. counties from the Stanford Open Policing Project and corresponding county-level data on implicit and explicit racial attitudes from the Project Implicit research website. We found that Black-White traffic-stop disparities are associated with county-level implicit and explicit racial attitudes and that this association is attributable to racial demographics: Counties with a higher proportion of White residents had larger racial disparities in police traffic stops. We also examined racial disparities in several poststop outcomes (e.g., arrest rates) and found that they were not systematically related to racial attitudes, despite evidence of disparities. These findings indicate that racial disparities in counties' traffic stops are reliably linked to counties' racial attitudes and demographic compositions.

Subjective Identity Concealability and the Consequences of Fearing Identity-Based Judgment.

In intergroup contexts, people may fear being judged negatively because of an identity they hold. For some, the prospect of concealment offers an opportunity to attenuate this fear. Therefore, believing an identity is concealable may minimize people's fears of identity-based judgment. Here, we explore the construct of subjective identity concealability: the belief that an identity one holds is concealable from others. Across four pre-registered studies and a set of internal meta-analyses, we develop and validate a scale to measure individual differences in subjective identity concealability and provide evidence that it is associated with lower levels of the psychological costs of fearing judgment in intergroup contexts. Open materials, data, and code for all studies, pre-registrations for Studies 1-4, and online supplementary materials can be found at the following link: https://osf.io/pzcf9/.