Hydroxybenzoic acid esters (parabens) are used as preservatives in foods, cosmetics, and pharmaceuticals, which results in the exposure of humans to these compounds. Parabens and its metabolite, p-hydroxybenzoic acid (p-HB) are excreted from urine in free and conjugated forms. In this study, free and total forms (free plus conjugated) of parabens and their common metabolite, p-HB, were measured in urine samples collected from U.S. children (n = 40), Chinese children (n = 70), and Chinese adults (n = 26). The median concentrations of the sum of 6 parabens (Σparabens) in urine from U.S. and Chinese children were 54.6 and 10.1 ng/mL, respectively. The median concentration of urinary parabens measured for Chinese adults was 33.2 ng/mL, which was lower than that reported for U.S. adults. Elevated concentrations of parabens (1000-10,000 ng/mL) were found in urine from some Chinese adult females. Parabens were present predominantly (>90%) as conjugated species in urine. Among the six parabens analyzed, methyl paraben (MeP) and propyl paraben (PrP) were the predominant compounds, which accounted for 57-98% and 1.4-12%, respectively, of the total concentrations. A significant positive correlation was found between the concentrations of MeP and PrP. The geometric mean (GM) concentration of p-HB was 1380 and 2370 ng/mL for Chinese children and adults, respectively. The GM concentrations of p-HB in urine from U.S. children were 752 ng/mL for girls and 628 ng/mL for boys, which were 2-3 times lower than the concentrations determined for Chinese children. There was a significant difference in the ratios of concentrations of Σparabens and p-HB between demographic groups, which suggested the existence of various exposure routes to parabens. Based on the concentrations of urinary parabens and p-HB, the daily intake (DI) of MeP and PrP was estimated. The GM DI(MeP) estimated for Chinese children was 0.5-0.7 mg/day, which was similar to those determined for U.S. children. The GM DI(PrP) (0.2-0.5 mg/day) estimated for Chinese children was 20- to 50-fold higher than the value determined for U.S. children (0.01 mg/day). The highest exposure to parabens was found for Chinese adult females, with GM DI(MeP) and DI(PrP) of 5.9 and 1.2 mg/day, respectively. Elevated exposure to PrP was found in some Chinese adult females (27 mg/day) and children (11 mg/day).