Disparities of sexual orientations by sex and urban or rural residence among youth in ChinaChao Guo A , Lihua Pang A , Lei Zhang A , Gong Chen A , Zhenjie Wang A and Xiaoying Zheng A B
A Institute of Population Research/WHO Collaborating Centre on Reproductive Health and Population Science, Peking University, Beijing, 100871, China.
B Corresponding author. Email: firstname.lastname@example.org
Sexual Health 13(5) 497-499 https://doi.org/10.1071/SH16041
Submitted: 12 March 2016 Accepted: 17 June 2016 Published: 19 August 2016
This study explores the distribution of sexual orientations and examined disparities by sex and rural and urban residency of non-heterosexual youth, aged 15–24 years, in China. Data was derived from a 2009 nationally representative survey. Among 22 288 participants, 0.79% identified as homosexual, 1.47% identified as bisexual, and 4.26% were unsure about their sexual orientation. Compared with male youth and urban youth, female youth (adjusted odds ratio = 1.37, 95% confidence interval: 1.23–1.52) and rural youth (adjusted odds ratio = 1.23, 95% confidence interval: 1.09–1.40) were more likely to be non-heterosexual. More efforts should be made to enhance sex education and legal protection for non-heterosexual youth in China.
Additional keywords: gender, non-heterosexual, residence, sexual orientation, youth.
References Perrin EC. Sexual orientation in child and adolescent health Care. New York: Kluwer Academic/Plenum Publishers; 2002.
 Shilo G, Savaya R. Mental health of lesbian, gay, and bisexual youth and young adults: differential effects of age, gender, religiosity, and sexual orientation. J Res Adolesc 2012; 22 310–25.
| Mental health of lesbian, gay, and bisexual youth and young adults: differential effects of age, gender, religiosity, and sexual orientation.CrossRef |
 Garofalo R, Wolf RC, Kessel S, Palfrey SJ, DuRant RH. The association between health risk behaviors and sexual orientation among a school-based sample of adolescents. Pediatrics 1998; 101 895–902.
| The association between health risk behaviors and sexual orientation among a school-based sample of adolescents.CrossRef | 1:STN:280:DyaK1c3jt1Gnsg%3D%3D&md5=a45f5828475dd62933ab9fe84637424aCAS | 9565422PubMed |
 Saewyc E, Skay C, Richens K, Reis E, Poon C, Murphy A. Sexual orientation, sexual abuse, and HIV-risk behaviors among adolescents in the Pacific Northwest. Am J Public Health 2006; 96 1104–10.
| Sexual orientation, sexual abuse, and HIV-risk behaviors among adolescents in the Pacific Northwest.CrossRef | 16670224PubMed |
 Tao L. Study of homosexuality in high school students and their state of mind and relationship with parents rearing modes. Chinese J Human Sexuality 2005; 14 6–10. [in Chinese]
 Lu XH. The homosexual orientation among college students and their attitude to homosexual. Theory Res 2014; 30 70–1. [in Chinese]
 Huang YY, Pan SM. The multigender and sexual orientation among adolescents in China: based on the national sample survey among people aged 14–17 years old, 2010. China Youth Study 2013; 6 57–64. [in Chinese]
 Zheng XY, Chen G, Han YL, Chen H, Lin T, Qiu Y. Survey of youth access to reproductive health in China. Population and Development 2010; 16 2–16. [in Chinese]
 Guo C, Zhang L, Wang ZJ, Gong C, Zheng X. Prevalence of and disparities in HIV-related sexual risk behaviours among Chinese youth in relation to sexual orientation: a cross-sectional study. Sex Health 2016;
| Prevalence of and disparities in HIV-related sexual risk behaviours among Chinese youth in relation to sexual orientation: a cross-sectional study.CrossRef | 27248516PubMed |
 Sang TD. The emerging lesbian: female same-sex desire in modern China. Chicago: University of Chicago Press; 2003.
 Chen JJ, Liu HY, Xie ZM. Effects of rural–urban return migration on women’s family planning and reproductive health attitudes and behavior in rural China. Oxford: Blackwell Publishing Ltd; 2010.
 Wang JC, Chen XJ, Zhang P. Survey of northwestern university urban and rural sex education and related strategies exploration: Take Gansu Colleges as an example. Guide of Sci & Educ 2013; 33 191–2. [in Chinese]