Evidence map›Paper›PMID 41869601›Full record

ArticleFrontiers in public health2026

What leads to prejudice against homosexuality in China?-familism, filial piety, and gender role attitudes in a Confucian cultural context.

Hua Zhang, Yanyan Ouyang, Xiuxian Deng, Shulei Zhong, Chunyan Luo, Cheng Yang

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Hua ZhangSchool of Politics and Public Administration, Guangxi Minzu University, Nanning, China.
Yanyan OuyangSchool of Politics and Public Administration, Guangxi Minzu University, Nanning, China.
Xiuxian DengSchool of Government, Shenzhen University, Shenzhen, China.
Shulei ZhongSchool of Politics and Public Administration, Guangxi Minzu University, Nanning, China.
Chunyan LuoSchool of Politics and Public Administration, Guangxi Minzu University, Nanning, China.
Cheng YangSchool of Public Policy and Management, Guangxi University, Nanning, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: From a cultural perspective on research into homosexual identity, existing studies argue that the cultural foundations of Chinese attitudes toward homosexuality are deeply embedded in Confucian ethics, the family system, and a patriarchal gender order. Building on this foundation, this study adopts "family-based moral regulation" as its core explanatory framework, focusing on value domains such as marriage, reproduction, gender, and intergenerational obligations. It proposes and operationalizes three measurable value dimensions at the levels of the individual, the couple, and the family: premarital sexual attitudes, gender role beliefs, and conceptions of filial piety. This study examines how these dimensions are associated with contemporary Chinese public attitudes toward homosexuality. Method: Using data from the Chinese sample of the seventh wave of the World Values Survey (WVS), this study explores how three dimensions of Confucian gender ideology relate to attitudes toward homosexuality. It also examines how gender and gender role beliefs interact with views on filial piety and sexual behavior. Result: The study finds that in a Confucian cultural context, negative attitudes toward homosexuality are driven not by biological sex, but by the degree of adherence to traditional gender role norms. Among the three dimensions of Confucian gender ideology, more permissive premarital sexual attitudes are positively associated with acceptance of homosexuality, while traditional gender role beliefs and stronger filial piety are significantly negatively associated. Finally, by distinguishing the effects of sex and gender role beliefs, the study shows that gender role beliefs significantly amplify the negative impact of sexual attitudes and filial piety on views toward homosexuality, whereas biological sex has no significant effect. Conclusion: In the Confucian cultural context, negative evaluations of homosexuality are shaped less by biological sex and more by individuals' adherence to traditional gender norms. Compared to biological identity, homophobic attitudes in Chinese society are more strongly linked to values that uphold the gender order. This study frames Confucian tradition as a key cultural foundation for shaping family ethics and offers a differentiated analysis of family-centered moral values, providing new individual-level empirical evidence for understanding attitudes toward homosexuality in non-Western contexts.

Indexed as

AttitudeConfucianismGender RoleHomosexualityPrejudiceAdultChinaFemaleHumansMaleMiddle AgedConfucian culturefamilismfilial pietygender role beliefshomosexualitysexual attitude

Identifiers

PMID41869601
PMCPMC13003512

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.