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Little is known about the risky sexual behaviour, misconceptions and attitudes regarding sexuality and sexual health among rural youth in India. In order to understand these aspects, quantitative data were collected among 1,500 rural college students (800 male and 700 female) in the age group 15–24 years in the Thane district of Maharashtra, India, during 2004. Analysis of variance and regression analysis were performed using the total mean score of attitude towards sexuality as the dependent variable to determine the association and relationship, respectively, with background and familial characteristics. The results clearly showed that the majority of the students in the study expressed conservative attitudes towards premarital sexuality. Many students not only disagreed with casual sex but also considered it immoral. Gender bias i.e. permitting premarital sex for males and not for females, was reflected …