What the study found
The study found that pay differences in the National Health Service in England were related to gender, sexual identity, and whether LGB+ employees disclosed their identity at work. It also found substantial variation within the LGB+ group, and disclosure was linked to higher pay, especially for men.
Why the authors say this matters
The authors say the findings add to understanding of pay outcomes for LGB+ workers in the labour market. They conclude that the results help show how pay is related to both identity and disclosure.
What the researchers tested
The researchers used a rich survey of employees from the National Health Service in England. They examined the relationship between relative pay, LGB+ identity, and disclosure for both men and women.
What worked and what didn't
Disclosure was associated with higher pay through larger returns on the endowments of LGB+ employees, meaning the pay associated with their characteristics was higher when identity was disclosed. This pattern appeared for both men and women, and it was especially strong for men. The abstract does not report any interventions or tests of what did not work.
What to keep in mind
The summary describes one survey of employees in the National Health Service in England, so the findings are specific to that setting. The abstract does not describe additional limitations beyond the rarity of pay-gap studies that allow disclosure of sexual identity.
Key points
- The study examined pay, LGB+ identity, and disclosure among National Health Service employees in England.
- Pay differences were related to gender, sexual identity, and disclosure at work.
- LGB+ employees showed substantial heterogeneity in pay outcomes.
- Disclosure was linked to higher pay, especially for men.
- The abstract does not report interventions or causal tests.
Disclosure
- Research title:
- LGB+ disclosure is linked to higher pay in NHS employees
- Authors:
- Karen Ann Mumford, Edith Aguirre, Anna Einarsdóttir, Bridget Lockyer, Melisa Sayli, Benjamin Arthur Smith
- Institutions:
- IZA – Institute of Labor Economics, Townsville Hospital, University of Essex, University of Surrey, University of York, University of York
- Publication date:
- 2026-03-04
- OpenAlex record:
- View
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