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This article reports on research conducted to investigate student confidence in reading by collecting data from 135 primary schools in rural China. In the survey, we adopted the PIRLS scales of confidence in reading and reading skills test items. Our analysis shows that compared to the other countries and regions, rural China ranks last with regard to student confidence in reading and reading achievement. The correlation analysis reveals that in rural China there is a strong correlation between student confidence in reading and reading achievement. Additionally, school and teacher factors are associated with student confidence in reading. Specifically, having an accessible classroom library is associated with higher reading confidence, especially among the poor readers. Teacher instruction in reading correlates with higher confidence in readers for high achievers. Our findings indicate that the government should develop effective policies to improve student confidence in reading and reading skills in rural China.