Body odour disgust sensitivity (BODS) reflects a behavioural disposition to avoid pathogens, and it may also involve social attitudes. Among participants in the USA, high levels of BODS were associated with stronger xenophobia towards a fictitious refugee group. To test the generalizability of this finding, we analysed data from nine countries across five continents (N = 6836). Using structural equation modelling, we found support for our pre-registered hypotheses: higher BODS levels were associated with more xenophobic attitudes; this relationship was partially explained by perceived dissimilarities of the refugees' norms regarding hygiene and food preparation, and general attitudes toward immigration. Our results support a theoretical notion of how pathogen avoidance is associated with social attitudes: ‘traditional norms’ often involve behaviours that limit inter-group contact, social mobility and situations that might lead to pathogen exposure. Our results also indicate that the positive relationship between BODS and xenophobia is robust across cultures.