Background Little is known about the access to measures of sexual and reproductive health (SRH) services among sexual minority communities in China, where sexuality-related stigma and discrimination remains high. The aim of this study is to investigate access to measures of SRH services among Chinese sexual minority youths (SMY) aged 17 to 24 years old. Methods This cross-sectional study utilizes data on 54,580 youths from the 2019–2020 National College Student Survey on Sexual and Reproductive Health, conducted across 31 provinces in mainland China. Multivariable logistic regression modelling was utilized to assess the access to SRH services among Chinese youth with different self-reported sexual orientation. Results The majority of respondents identified as heterosexual (77.6%). The remaining respondents identified as bisexual (9.0%), lesbian or gay (2.8%), others (3.02%), or unknown (7.51%). Gay men reported greater access to free contraceptives at health centers (OR 1.62, 95% CI: 1.32–1.99) and were more likely to have receive medical treatment for sexual and reproductive issues (OR 1.83, 95% CI: 1.26–2.63) compared to heterosexual men. Gay and bisexual men were also more likely to use condom at first sexual intercourse compared to heterosexual men (gay men: OR 1.38, 95% CI: 1.13–1.68; bisexual men: OR 1.33, 95% CI: 1.03–1.71). However, the associations were reversed among women (lesbians: OR 0.05, 95% CI: 0.03 to 0.08; bisexuals: 0.75, 95% CI: 0.65 to 0.86). Conclusions Although SMY reported higher utilization of SRH services compared to their heterosexual counterparts, access to SRH services remains low among Chinese youths. Greater focus should be placed on improving access to SMY-friendly SRH services among Chinese youths.

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Background Little is known about the accessibility to general sexual and reproductive health (SRH) services among sexual and gender minority communities in China, where gender- and sexuality-related stigma and discrimination remains high. The aim of this study is to investigate the accessibility to SRH services among Chinese sexual minority youths (SMY) aged 15–24 years old. Methods This cross-sectional study utilizes data on 54,580 youths from the 2019–2020 National College Student Survey on Sexual and Reproductive Health, conducted across 31 provinces in mainland China. Multivariable logistic regression modelling was conducted to assess the accessibility to SRH services among Chinese youth with different self-reported sexual orientation. Results A total of 77.6% of respondents self-identified as heterosexual, while 2.8% identified as lesbian or gay, and 9.0% as bisexual. Accessibility to free condoms at formal health services (OR 1.62, 95% CI: 1.32–1.99) and medical treatment (OR 1.83, 95% CI: 1.26–2.63) were significantly higher among gay men compared to heterosexual men. Gay men (OR 1.38, 95% CI: 1.13–1.68) and bisexual men (OR 1.33, 95% CI: 1.03–1.71) were more likely to use condom at first sexual intercourse compared to heterosexual men. However, the associations were reversed among female respondents. Conclusions Although SMY reported higher SRH services utilization compared to their heterosexual counterparts, the accessibility to SRH services remains low among Chinese youths. Policymakers should focus on improving the accessibility to SMY-friendly SRH services among Chinese youths.