China Health & Science
Let’s Talk about Sex, Grandpa: HIV on the Rise among China’s Elderly Men
There’s a sharp rise in HIV among Chinese elderly men, partly caused by a general lack of HIV & safe sex awareness.
Published
6 years agoon
First published
HIV among China’s elderly is a growing problem; it is mostly older men who get infected with HIV through extramarital sex. Their knowledge regarding safe sex is often lacking.
As it is World AIDS Day on December 1st, and while major discussions on the alleged first gene-edited babies immune to HIV are still top trending, other noteworthy HIV-related news is also gaining a lot of attention on Chinese social media these days.
At time of writing, more than 220 million people have viewed the Weibo hashtag “Number of Elderly AIDS Cases on the Rise” (#老年艾滋病病例上升#). The hashtag has emerged amidst news reports that there is a significant rise in the number of HIV cases among the elderly in China, particularly among men.
According to an article published on Weibo by Chinese news outlet The Paper, the number of known cases of HIV among Chinese men above the age of 60 has risen from 8391 cases in 2012 to 19815 cases in 2017.
On November 27, the Hangzhou Center for Disease Control and Prevention (杭州市疾控中心) released news information relating to the problems of the rising cases of HIV and AIDS among the elderly.
In the city of Hangzhou, the detection of HIV among patients who are over 50 years old has doubled over the past three years.
According to a specialist from the Hangzhou center, this rise of HIV has to do with the limited HIV awareness among elderly communities, and with the fact that they are often not accustomed to using condoms.
Extramarital heterosexual sex is the main way of transmission for elderly men, with some also getting HIV because of homosexual sex. For elderly women, marital sex is the main way of transmission.
Because they are often late in seeking medical treatment when they feel unwell, the detection of HIV is often late, which makes that there is a relatively high number of AIDS-related deaths among elderly patients.
The problem of the rising number of HIV patients among China’s elderly population has received more scholarly attention of the past few years. According to a 2014 study by Tang et al, the sharp rise of HIV among elderly became more visible after 2010. In 2011, people over the age of 60 accounted for 28.4% of the total HIV cases Guangxi province (this was 18.7% in 2009).
A study in Nanning, capital of Guangxi, found that heterosexual transmission accounted for 90% of HIV cases among those over 50 years old, and that low-cost commercial sex venues were a primary site of infection (Tang et al 2014, 2).
The research by Tang et al shows that the use of aphrodisiacs (cheaper alternatives to Viagra, often illegally produced in local workshops) is significantly associated with an increased HIV risk for men over 50 who purchase commercial sex with female prostitutes (3).
One popular WeChat blog explained the reasons behind the problem of HIV among China’s elderly as follows:
1. They see prostitutes because they are seeking ways to fulfill their sexual needs.
2. There is little awareness on HIV or AIDS. (According to one story quoted in the blog, an elderly man who was diagnosed with HIV even told the doctor he had washed himself with detergent every time after he had sex with a prostitute – he “did not understand” how he got infected.)
3. They do not know how to use condoms / they are not accustomed to using condoms.
On Weibo, there are many commenters who show their sympathy for the elderly women who get infected with HIV within their marriage because of their husband’s extramarital sexual behaviors. “How tragic for them,” a popular comment said, while others wonder: “What’s the purpose of marriage then?”
The Center for Disease Control and Prevention advises people who have had extramarital sex, homosexual or heterosexual, to get themselves checked on HIV – also if there are people who suspect that their partner might have had sexual encounters outside of the marriage.
“The sex life of the elderly is a sensitive topic, but it needs to be talked about,” well-known lawyer Yi Shenghua (易胜华) writes on Weibo: “If we do not attach importance to the [open] discussion of this topic, the problem of AIDS among China’s eldery will only grow bigger.”
By Manya Koetse and Miranda Barnes
Follow @whatsonweibo
Tang Z, Wu X, Li G, Shen Z, Zhang H, et al. 2014. “Aphrodisiac Use Associated with HIV Infection in Elderly Male Clients of Low-Cost Commercial Sex Venues in Guangxi, China: A Matched Case-Control Study.” PLOS ONE 9(10): e109452. https://doi.org/10.1371/journal.pone.0109452.
Photo used in featured image by David Sinclair.
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Manya is the founder and editor-in-chief of What's on Weibo, offering independent analysis of social trends, online media, and digital culture in China for over a decade. Subscribe to gain access to content, including the Weibo Watch newsletter, which provides deeper insights into the China trends that matter. More about Manya at manyakoetse.com or follow on X.
China Health & Science
Breaking the Taboo: China’s Sanitary Pad Controversy Sparks Demand for Change
After realizing domestic sanitary pads were literally falling short, Chinese netizens are demanding greater awareness and improvements in long-overlooked issues of quality, affordability, and societal attitudes toward menstruation.
Published
2 weeks agoon
December 6, 2024By
Ruixin ZhangSanitary pads have never been a bigger topic of debate on Chinese social media as it’s been over the past few weeks. What began with one blogger’s discovery of menstrual pads falling short of their advertised size has grown into a broader movement, demanding better-quality products and greater awareness of menstrual health.
Despite being a natural part of life for women around the world, menstruation remains a sensitive and taboo subject in many parts of China, particularly in more conservative, rural areas and smaller cities.
Essential feminine hygiene products like sanitary pads or tampons are often discreetly wrapped in dark plastic bags to avoid drawing attention.
However, this month, the silence was broken. “Sanitary pads” and related topics dominated online discussions, igniting a heated conversation that started with pad length but quickly expanded to include concerns about health, safety, and women’s rights.
EXPOSING THE “SHORTCOMINGS” IN SANITARY PADS
“Buy it if you want, or just don’t.”
In early November, a viral post on Xiaohongshu (later deleted) brought attention to a troubling issue. A woman who purchased sanitary pads online found them significantly shorter than advertised—a supposed 290mm pad measured only 250mm.
When she confronted the seller, they dismissed her concerns, citing a “normal 4% margin of error” and claiming, “If you order 290mm, we can only send 250mm—that’s the rule.”
The post struck a nerve. Netizens began measuring their own pads and discovered that many brands similarly fell short of their advertised lengths. This perceived deception ignited widespread outrage:
“They market themselves as designed for women, but even the lengths are misleading?”
“We pay the highest taxes for subpar products!”
The controversy soon spread to platforms like Douban and Weibo, where more and more people started comparing advertised versus actual pad lengths. The results revealed that many well-known brands consistently fell short, raising accusations of industry-wide cost-cutting.
Facing mounting pressure, several Chinese brands issued responses claiming their products adhered to the national standard that allows a ±4% length deviation. According to this standard, a 290mm pad can legally measure between 278mm and 302mm.
However, consumer measurements consistently showed pads at the lower limit—or even shorter. This raised suspicions that manufacturers were exploiting the -4% allowance as an industry norm to cut costs.
Some netizens compiled a crowdsourced chart comparing the advertised length, actual length, and cotton coverage of various brands. The findings revealed similar discrepancies across major brands.
Some brands, with size deviations as large as -15%, responded evasively to consumer concerns, claiming that such deviations are normal and do not affect usage. These responses only fueled further frustration among netizens, who accused the brands of dismissing their concerns. As one blogger (@你健康富有) remarked, the brands’ attitude couldn’t be clearer: “‘Buy it if you want, or just don’t.'”
BEYOND LENGTH: A DEEPER ISSUE
“Society tolerates or even reinforces menstrual stigma.”
While the pad length scandal initially focused on cost-cutting, the ensuing discussions uncovered far more serious concerns. A resurfaced video by documentary filmmaker and blogger Fourfire (四火, @为了玲飞护肤纪录片) revealed the industry’s dark side. The video exposed illegal factories recycling used materials, including shredded pads and diapers, into new sanitary products. These contaminated pads, sold cheaply on e-commerce platforms, have been linked to pelvic inflammation and other gynecological problems.
In the video, Fourfire urged women to stick to well-known brands and purchase from reputable retailers.
But are pricier pads from major retailers truly safe? Quality issues with domestic brands have surfaced repeatedly, and this latest length discussion reignited those concerns. Consumer-created “red-flagged brands” for domestic pads feature numerous well-known brands with prior reports of containing maggots, mold, and other contaminants.
This renewed scrutiny prompted questions and discussions among female netizens. One user asked, “Is there any brand of sanitary pads that’s actually safe to use?” Among the hundreds of replies and shares, one prevailing sentiment emerged: “None of them.” Many users began to view previous quality issues not as isolated incidents but as indicative of broader problems within the industry.
Adding fuel to the fire, one blogger (@迷宝吃不饱) claimed that the national standards for sanitary pads in China allow a pH range of 4–9. This range aligns with standards for non-intimate textiles, such as jackets or curtains. Given that human skin is slightly acidic, with a pH between 4.1 and 5.8 (3.8–4.5 for intimate zones), products in close contact with the skin, such as sanitary pads, should ideally be designed to maintain the skin’s natural pH balance and prevent irritation.
This seemingly loose standard sparked further concerns among female consumers. Many began reflecting on their past experiences, sharing issues they’d faced while using sanitary pads—frequent inflammation, allergic reactions, itching, and other symptoms. Few had considered the possibility that these problems might be linked to the pads themselves.
In response, experts argued that the materials, hygiene, and sterilization of pads were far more critical than pH levels. However, in today’s China, where public trust in such authorities is relatively low (read: “Experts Are Advised Not to Advise“), this explanation not exactly reassured the public. Gynecologists and popular science influencers, such as Sixthfloor (@六层楼先生), pointed out that similar products like baby diapers and men’s sanitary pads are held to stricter production standards. This disparity naturally fueled suspicion and concern about women being disadvantaged and the role of societal taboos surrounding menstruation.
One Douban user commented: “Society tolerates or even reinforces menstrual stigma. The less we talk about sanitary pads, the easier it is for companies to profit from women.”
BREAKING THE SILENCE
“Decisions about menstrual products are being made by people who don’t menstruate.”
Sanitary pads in China are relatively expensive and not covered by health insurance. A single daytime pad from a common brand costs around 1 RMB ($0.15), while nighttime pads can be twice as expensive. Over a typical six-day period, a woman might spend 30-40 RMB ($4.15-$5.50) each month. Tampons, though less popular in China, are even more costly.
For women in impoverished or rural areas, this expense can be a significant burden. Many are forced to purchase low-cost, unregulated “three-no” products (no license, no standards, no brand), often manufactured by the shady companies exposed in Fourfire’s video. On Taobao, product reviews for these pads reveal heartbreaking stories. Some users recommend switching to safer, higher-quality options, but responses often reflect the harsh reality: “I don’t have a choice.”
Now, as major brands face public backlash, many women are turning to “medical-grade sanitary pads,” originally made for surgical recovery or heavy bleeding. According to the Sichuan Observation media channel (@四川观察), online searches for these products have jumped by over 3,000%. While safer, these pads are even more expensive.
The frustration is clear: “Do we really have to keep paying more for basic necessities just to protect our health? Why not just make regular sanitary pads safe and reliable? Is that too much to ask?”
So why is it so hard to produce affordable, safe sanitary pads without cost-cutting tricks? The answer may lie in a regulatory change made over a decade ago. In 2008, new national standards for sanitary pads eliminated quality grading classifications and reduced minimum requirements for the length of filling cotton. This gave manufacturers more freedom to cut costs, often at the expense of quality.
One glaring detail hasn’t gone unnoticed: the revised standards were drafted entirely by men. As one netizen commented, “Decisions about menstrual products are being made by people who don’t menstruate.” For women, the lack of female representation in an industry directly affecting them is both absurd and infuriating, highlighting a deeper issue of gender imbalance in industries and regulatory frameworks that shape women’s lives.
At the time of writing, distrust in domestic sanitary pad brands in China has reached a peak. Whether driven by exaggerated fears or valid concerns, one thing is clear: after years of menstrual stigma and neglect of women’s health issues, many women feel unheard and are now speaking out. This growing frustration has given rise to an online feminist movement, calling for accountability and demanding change from an industry—and a culture—that has long overlooked some of women’s basic rights.
GRASSROOTS EFFORTS FOR CHANGE
“Girls should never feel ashamed of their periods”
With policymakers mostly male, Chinese women have had to take matters into their own hands. Over the years, various incidents related to menstrual products have gone viral and triggered grassroots efforts to improve the status quo.
The last major public outcry about sanitary pads occurred in 2022 when a woman on a high-speed train discovered they weren’t available for purchase. She vented her frustration online, and the issue quickly gained traction. Many commenters, mostly men, argued that pads weren’t “essential items” and didn’t warrant taking up retail space onboard. The railway authority’s official response—categorizing sanitary pads as “personal items” that didn’t need to be sold—only intensified the outrage.
In the same year, a young woman in Covid quarantine in Xi’an went viral after she tearfully begged anti-epidemic staff for sanitary pads. When workers at her quarantine hotel told her there was nothing they could do, she asked, “So what? Does that mean I have to bleed a river of blood?”
For many women, these incidents highlighted how little society understands or respects their basic needs. In response, people organized online campaigns, flooded hotlines with complaints, and raised awareness about why menstrual products are essential. “Girls should never feel ashamed of their periods,” one netizen wrote.
Sometimes, progress is made. The woman in Xi’an’s quarantine later posted an update, saying she eventually received the menstrual pads she needed. And although pads are still not available on all high-speed trains, they are now provided on many routes—a small but meaningful step.
This time, the debate over pad quality has drawn even greater attention, involving public figures, celebrities, and even tech mogul and Xiaomi founder Lei Jun (雷军), with some hoping that a trusted brand like Xiaomi could play a role in making Chinese sanitary pads safer and more innovative. Women have launched cross-platform campaigns like #ShowYourSanitaryPads (#晒出你的卫生巾#), encouraging people to share posts on Weibo, Douban, and Xiaohongshu to call out brands for inaccurate sizing or poor quality.
Activists are also sharing step-by-step guides on filing formal complaints and advocating for stricter national production standards. The movement is gaining momentum, driven by a collective determination to demand safer, more reliable products.
On November 21, China News Weekly reported that a new national standard for sanitary pads is being drafted. CNR News also called for tighter industry oversight, signaling an urgent response to recent public criticism.
Yet, this response only scratches the surface of the deeper issues surrounding menstrual products in China. Challenges such as the high cost of pads, their limited availability in public spaces, and inadequate menstrual education persist. Will meaningful change continue to rely solely on grassroots efforts? Hopefully, this marks the beginning of a broader, systemic shift that not only addresses these immediate concerns but also redefines how society values and prioritizes women’s basic needs.
By Ruixin Zhang
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edited for clarity by Manya Koetse
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China Health & Science
Stolen Bodies, Censored Headlines: Shanxi Aorui’s Human Bone Scandal
A Chinese company illegally acquired thousands of corpses to produce bone graft materials sold to hospitals—a major scandal now being tightly controlled on social media.
Published
4 months agoon
August 9, 2024On Thursday night, August 8, while most trending topic lists on Weibo were all about the Olympics, a new and remarkable topic suddenly rose to the number one, namely that about the “Illegal Human Bone Case.” Just moments later, however, the topic had already disappeared from the Weibo hot search list.
An article about the topic by Chinese media outlet The Paper (澎湃)1 that had just been published hours earlier on August 8 had already been taken offline. Later, an article published on The Observer (观察)2 was also redirected. Another article published on the website of Caixin and state broadcaster CCTV similarly disappeared, 3 along with many other headlines.4
However, at the time of writing, there are some articles on the issue, such as by Sina News or Phoenix News, that remained accessible.
The story centers on Shanxi Aorui Bio-Materials Co., Ltd. (山西奥瑞生物材料有限公司), also known as Shanxi Osteorad in English, a company founded in 1999 that specializes in the production and supply of bone graft products.
On August 7, a prominent Chinese lawyer named Yi Shenghua (易胜华), who has a large following on Weibo, exposed details of Shanxi Aorui’s involvement in illegal and unethical practices surrounding the purchase of human bones. The company engaged in these practices for over eight years, from January 2015 to June 2023, generating an income of 380 million yuan ($53 million) from these activities.
These details had previously been disclosed by the Taiyuan Public Security Bureau in May of this year. The case has allegedly been transferred to the Taiyuan Procuratorate for review and potential prosecution, but it has yet to be concluded due to its complexity, involving some 75 suspects.
Over the years, Shanxi Aorui illegally acquired thousands of human remains, reportedly forging body donation registration forms and other documents to illegally purchase bodies from hospitals, funeral homes, and crematoriums from various places, from Sichuan Guangxi, Shandong, and other places. These human remains were then used to produce allogeneic bone implant materials, primarily sold to hospitals.
Due to the high demand for bone implant materials and limited supply, it is an incredibly lucrative industry. Some reports claim that those selling the human remains to Shanxi Aorui could charge between 10,000 and 22,000 yuan per corpse ($1400-$3000).
“I’ve been a criminal lawyer for many years, and have handled all kinds of cases, but this is the first time for me to be so shocked and angry,” Yi Shenghua wrote in his post (screenshot available via RFA.org).”What makes me particularly lose hope is that the maximum punishment for these kinds of people under the current law is only three years.”
However, Yi Shenghua’s Weibo post about the issue was later blocked from public view. “I can still see my own post, but apparently, others cannot,” Yi wrote at 17:35 on Thursday.
On August 9, China’s major pharmaceutical company Sinopharm issued a statement in light of the controversy surrounding the human bone case, stating it has never had any kind of relationship with the Shanxi Aorui company.
On Friday, the news topic on Chinese social media was tightly controlled. Various media outlets, from Weibo to Douyin, reported on the issue, but despite the public’s interest in the scandal, not a single comment could be seen under multiple threads.
‘Even Douyin blocked the Shanxi Aorui incident. Is this the government stepping in?’ one commenter wondered.
‘Why are they suppressing this hot search topic? Do they think the public is stupid?’ another person wrote.
One individual implicated in this case is Li Baoxing (李宝兴, born 1955), who was General Manager at Shanxi Aorui. Li is a renowned research professor who was reportedly awarded the title of National Model Worker in 2005. He was formerly affiliated with the Institute of Biomaterials Science and Technology at the Chinese Academy of Sciences, where he developed bone implant materials that benefited thousands of patients across the country. He allegedly joined the Communist Party in 1985.
Some commenters called the entire scandal a “horror film,” with Li Baoxing being the director.
“We know about 4000 [human remains], what about those we don’t know about?”
“These so-called ‘human remains’ were once people like you and me,” another Weibo user wrote: “They were alive, their voices and smile are still in the hearts of family and friends. They liked to be clean, they had their privacy, they are still being missed. We can’t replace ourselves or our loved ones, [yet] they were used and peeled layer by layer.”
By Manya Koetse
1 Title: “探访涉盗卖数千具人体骨骼的山西奥瑞公司,此前已被公安查封” (“Investigation into Shanxi Aorui Bio, involved in the illegal sale of thousands of human bones, which had previously been seized by police”). Original link: https://www.thepaper.cn/newsDetail_forward_28348324
2 Title: “涉嫌非法盗卖数千具遗体用于制作植入材料,山西奥瑞生物八年营收3.8亿” (“Suspected of illegally stealing and selling thousands of human remains for use in making implant materials, Shanxi Aorui Bio made an eight-year revenue of 380 million yuan”). Original link: https://www.guancha.cn/GongSi/2024_08_08_744234.shtml
3 CCTV’s publication is the same as the article published by The Paper, namely: “探访涉盗卖数千具人体骨骼的山西奥瑞公司,此前已被公安查封” (“Investigation into Shanxi Aorui Bio, involved in the illegal sale of thousands of human bones, which had previously been seized by police”). Original link: https://news.cctv.com/2024/08/08/ARTIkxoJEQuHmvTxmxGVmDug240808.shtml. Caixin’s publication was titled “75人卷入山西盗窃倒卖遗体案 多地民政局称已跟进调查” (75 people involved in the theft and sale of human remains in Shanxi, investigations underway by various civil affairs bureaus).
4 For example, by Sina News: “起底倒卖4000具尸体操控者李宝兴- 曾获“全国劳模”称号” (“Li Baoxing, the manipulator who speculated in 4,000 corpses, was awarded the title of “national labor model”). Original link: https://finance.sina.com.cn/chanjing/gsnews/2024-08-08/doc-inchxqva1690315.shtml?cre=sinapc&mod=g.
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Jazz Player
January 7, 2019 at 7:04 am
How do Families deal with the secrets? I’m from the US and my wife Chinese. Her father has the virus. Her mother doesn’t want anyone to know. I’m not sure what happens to Family Value, held in such high regards, here in China…Comments and Suggestions Appreciated…