The State of Ohio and Hubei Province established sister province/state relations in 1979. Toledo City and Qinhuangdao City of Hebei (1985), Cincinnati and Liuzhou City of Guangxi (1988), Columbus and Hefei City of Anhui (1988) are sister cities .

In 2019, Ohio’s total trade in goods with China was 14.21 billion U.S. dollars, down 14.2% year-on-year, exports to China were 3.24 billion U.S. dollars, down 11.0% year-on-year, and imports from China were 10.97 billion U.S. dollars, down 15.2% year-on-year. China is Ohio’s No. The three largest export markets and the second largest source of imports.