China Society
“Elderlies” in Their Thirties: The Growing Interest of Chinese Youth in Nursing Homes
Some Chinese nursing homes are evolving into sought-after havens where China’s younger people can “lie flat” without worrying about meals and household chores, while enjoying a high-quality lifestyle.
Published
1 year agoon
By
Zilan QianChinese nursing homes are changing their image in the social media age. While Chinese vloggers experiment with living in old people’s homes, and nursing homes are modernizing their facilities, some senior care centers are offering young people the chance to reside in their communities for free – as long as they spend some time with their elderly residents.
In China, nursing homes (养老院, yǎnglǎoyuàn) are usually not linked to lively living spaces. Many picture elderly residents trapped in dull daily routines, lacking companionship, without any visitors or children around, simply awaiting the inevitable alone.
However, these places, once synonymous with boredom, loneliness, and the end of life, are now piquing the interest of younger generations in China, breathing new life into them and transforming them into more vibrant living communities.
Recently, a nursing home in Hangzhou, Zhejiang Province, began to recruit young people to live there. The initiative is a part of the “Companion Aging Program” promoted by the local civil affair bureau.
Its objective is twofold. One the one hand, it provides new living environments for younger generations facing difficulties in securing housing. On the other hand, it alleviates the burden of social isolation on seniors who struggle to stay in touch with the communities around them.
The program is focused on attracting young people, especially those who have just entered the workforce. They can stay in one-bedroom apartments within nursing homes for free, with only a small monthly management fee of 300 yuan ($41). The only requirement is that they spend at least ten hours each month engaging in activities with elderly residents, like sharing meals, going for walks, or having conversations.
The government initiators stress the program’s win-win situation. A staff member at the bureau explains, “The program can provide accompany to satisfy seniors’ emotional needs, while also helping ‘companions’ to save on rental costs.”
To ensure that the program is indeed mutually beneficial, the government has established specific criteria for potential senior companions. These requirements include not having current residents in the city, holding at least a junior college education level, and having desirable backgrounds in fields such as medicine, psychology, information technology, arts, or law.
The program has been well-received thus far. In a Weibo poll with the hashtag “Are you willing to live in nursing homes for free by accompanying old people?” (#你愿意陪伴老年人免费入住养老院吗#), initiated by Xinjin News (@新京报), 55% of the respondents wholeheartedly support the initiative, while approximately 30% remain undecided.
According to another recent Weibo post by Sina News, the nursing home has already received hundreds of resumes from applicants.
“The Old Man in His Thirties”: Young People Who Want to Live in Nursing Homes
In the meantime, living in nursing homes seems to have become increasingly popular among young people in China, even when it’s not always free of charge. Nursing homes have not only been portrayed in more favorable lights on social media by state media outlets, they have also taken proactive measures themselves to improve their image.
Thanks to these collective efforts, what were once seen as lonely and uninspiring places are now seemingly transforming into popular residences where China’s younger people can “lie flat” (read more), without worrying about meals and household chores, while enjoying a high-quality lifestyle.
On social app Xiaohongshu, one user named “The Old Man in His Thirties” (三旬老汉) has recently been documenting his experience of moving to a nursing home.
In his first video, somewhat jokingly, he talks about quitting his job due to overwhelming work demands and choosing to embrace a “lie-flat” lifestyle (“躺平”). He was drawn to the nursing home because it provides meals, takes care of residents, and handles daily chores.
Titled “Day xx of living in a nursing home at the age of thirty” (“三十岁入住养老院的第xx天”), his subsequent videos showcase the nursing home staff preparing delicious meals for him, getting him snacks, and even engaging in esports activities with him. These videos also feature his humorous interactions with his roommate, a senior resident in his seventies.
Another post-95 generation Xiaohongshu user (久久姨家政) recently also shared his experiences of living in an old people’s home. His videos revolve around talking to older residents, enjoying meals with them or joking around. There are also other accounts, all young Chinese vloggers, sharing their own journeys of moving into senior care facilities.
Although these videos are apparently filmed based on written scripts, many netizens still see the attractiveness of nursing homes through these kinds of videos and posts. Many viewers have left comments under these videos expressing their desire to reside in senior living communities, asking for locations and inquiring about the costs.
Since the first video by “The Old Man in His Thirties” was posted in mid-June, the series has documented approximately 70 days of life in the nursing home. By now, the account has nearly 60,000 followers, and the videos accumulated thousands of likes.
In addition to improving their image through social media, some nursing homes in China have also enhanced their appeal by upgrading facilities. Gyms, swimming pools, snooker tables, free wifi and esports rooms – a variety of amenities have been introduced to transform nursing homes into modern spaces that also cater to the preferences of younger individuals.
Some private nursing homes also market themselves as “nursing homes even young people would want to live in,” emphasizing the exceptional quality and modern standards of services and facilities.
This online promotion has had the surprising by-effect that younger and middle-aged people are also changing their attitudes about moving into nursing homes when they are old and retired.
While some nursing homes across the country are offering free short stays for young Chinese, other individuals have gone as far as paying for a short stay to personally experience various nursing homes. One Xiaohongshu user, after spending a night at a local upscale nursing home and sharing her experience with a friend, commented, “After the immersive experience, I’m eager to apply for long-term residency right away.”
A Path to Change Eldercare in Aging China
The growing interest of young people in nursing homes is not merely a coincidental trend arising from local government initiatives or viral social media trends.
Elderly care services have been a significant focal point of China’s national strategies for several years, driven by the projected fourfold increase in the elderly population, from 36 million to 150 million, in the next three decades.
In early May of this year, the government issued guidelines aimed at establishing a comprehensive elderly care system by 2025. These guidelines emphasize the provision of material support to elderly individuals living alone, which includes the improvement of services and facilities within nursing homes.
This increased focus on nursing homes may indicate a shift in China’s eldercare strategies, particularly in light of the significant decline in birth rates. From 2011 to 2020, China prioritized a home-based eldercare system, encouraging younger generations to live in close proximity to their elderly relatives through restructured healthcare facilities and the promotion of filial piety.
Between 2015 and 2020, the central government allocated 5 billion yuan (approximately USD 743 million) to support new pilot programs for home-based elderly care services (Krings et al 2022).
However, with record-low marriage and birth rates, it is likely that a significant number of young people today will later lack the younger family members needed to provide home-based care as they age. Consequently, nursing homes are bound to play a more crucial role in China’s future eldercare industry.
In Chinese society, older adults residing in nursing homes are often regarded as examples of personal failures for not having loving families with caring children (Luo & Zhan 2911). Moreover, concerns about potential mistreatment of vulnerable elderly residents by staff members at nursing homes persist.
The increasing interest and recent active involvement of young people in nursing homes offer a way to challenge old stereotypes and bring new ideas to the changing eldercare landscape in China. Perhaps most importantly, it helps combat the loneliness that many seniors face while bridging the gap between the country’s younger and older generations.
By Zilan Qian
Follow @whatsonweibo
References (other sources hyperlinked in text):
Krings, Marion F., Jeroen D. van Wijngaarden, Shasha Yuan, and Robbert Huijsman. 2022. “China’s Elder Care Policies 1994–2020: A Narrative Document Analysis.” International Journal of Environmental Research and Public Health 19, no. 10: 6141.
Luo, Baozhen, and Heying Zhan. 2011. “Filial Piety and Functional Support: Understanding Intergenerational Solidarity among Families with Migrated Children in Rural China.” Ageing International 37, no. 1: 69–92.
This article has been edited for clarity by Manya Koetse
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Zilan Qian is a China-born undergraduate student at Barnard College majoring in Anthropology. She is interested in exploring different cultural phenomena, loves people-watching, and likes loitering in supermarkets and museums.
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China Society
Explaining the Bu Xiaohua Case: How One Woman’s Disappearance Captured Nationwide Attention in China
This is why Bu Xiaohua’s 13-year disappearance became such a major topic of discussion on Chinese social media.
Published
1 month agoon
December 14, 2024PREMIUM CONTENT
The story of Bu Xiaohua, a Chinese MA graduate who was reunited with her family after disappearing for 13 years, has recently dominated discussions on Weibo. Her case reveals much more than just the mystery of her disappearance—it highlights systemic failures and the vulnerability of women in rural China. Here, we unpack the key aspects of her story.
Her name is Bu Xiaohua (卜小花), but for the past 13.5 years, she lived a life without that name and without any connection to the person she once was.
The story of this Chinese female MA graduate from Shanxi’s Jinzhong, born on September 1, 1979, who disappeared for over a decade and was recently found living in a village just a 2.5-hour drive from her hometown, has sparked widespread discussion on Weibo and beyond. We previously explained the story in our article here.
In brief: On November 25, 2024, a woman from Heshun County (和顺县) sought help from volunteer Zhu Yutang (朱玉堂), who focuses on reuniting families with missing loved ones, to trace the origins of her “aunt,” who had been living with her uncle Zhang Ruijun (张瑞军) for over a decade. During this time, they had multiple children together, despite the woman clearly suffering from mental illness.
As volunteer groups and authorities got involved, it was eventually revealed that the woman was Bu Xiaohua (卜小花), an MA graduate from Jinzhong who had disappeared after experiencing a schizophrenic episode in the spring of 2011. Bu was found looking emaciated, bewildered, and unkempt, and was soon reunited with her family, who immediately ensured she received the help she needed. During a medical check-up, she was found to be not only suffering from mental illness but also from malnourishment.
When volunteers first met with Bu, they tried to get her to speak and learn more about her background. Among other things, she also wrote down several clues that led to the discovery of her identity, such as the names of family members. The first thing she wrote down was “run” (跑).
As discussions about Bu’s disappearance continue, several aspects of this case have become focal points, highlighting the vulnerable position of Bu and many other women like her.
1. “收留”: Was She “Taken In” or Abducted?
One term that frequently comes up in discussions around Bu Xiaohua’s case is “收留” (shōu liú), meaning “to take in” or “give shelter.”
This term was used in various reports about Bu’s story, including in the first police report of December 3.
Many netizens pointed out that the initial police statement seemed to frame the situation as an act of human compassion, reflecting the niece’s account of how Ms. Bu allegedly “wandered” into their family home one day. The family claims they reported her to the police but eventually decided to “take her in.”
Netizens are outraged by the use of this term, as it glosses over the criminal responsibility of Zhang and his family, who essentially kept Bu Xiaohua away from her own family for over 13 years. They are accused of exploiting her mental illness and inability to consent to marriage or sexual relations, which resulted in multiple children. The exact number is unclear, though rumors suggest she had six children in total, with only two remaining in her care.
The oldest of the two children is already twelve, meaning she must have become pregnant not too long after going missing.
Some commenters have referred to this as “rape-style sheltering” (“强奸型收留”). Was it rape, human trafficking, or illegal detention?
While netizens speculated about the actual crime behind this “taking in” of a mentally ill woman, local police announced they had opened a criminal investigation into suspected illegal acts. Bu’s “husband” has since been detained, and officials are continuing to investigate the case.
No evidence or clues of Bu being trafficked have been found as of now. Investigations into the case reveal that Bu – displaying signs of mental illness according to witnesses – was alone when she walked around neighboring villages for at least ten days in July and August of 2011, some weeks after she disappeared from her home.
The hashtags “Taking In” (#收留#) and “‘Taking In’ Shouldn’t Be Used as a Cover for Unlawful Realities” (#收留之名难掩不法之实#) have been used by netizens to protest the phrase’s use.
Meanwhile, some reports on the misuse of the term have been censored. The Weibo hashtag “Taking In the Female MA Graduate” (#收留女硕士#) has been taken offline and comes up with a “Sorry, the content of this topic is not displayed” message. A QQ News article titled “Female Master’s Graduate Missing for 13 Years Has Given Birth to a Son and a Daughter; The Person Who ‘Took Her In’ Responds: ‘I Didn’t Detain or Hit Her'” (“女硕士走失13年已生育一儿一女,“收留者”本人回应”) also now leads to a ‘404 page,’ indicating it has been removed.
Critics like Lawyer Zhao (@披荆斩棘赵律师), who has actively commented on this case, believe that Bu’s “husband” and his family never made any real effort to help her find her own family. They speculate that the family only agreed to let volunteers get involved because Bu’s childbearing value had long been exhausted, or because she was aging and they no longer wanted to care for her.
Zhang’s niece, whose request to volunteers initially brought this story to light, has also become an increasingly controversial figure. She recently hosted a livestream in which she claimed that the Zhang family had actually taken good care of Bu, describing her as a “good-for-nothing” who neither did housework nor fed her own children. She also defended her impoverished and disabled unlce Zhang, claiming the family is not as bad as the public says.
“Let her experience being ‘taken in’ by another family and see how she feels,” some top commenters suggested in response.
2. Lacking Law Enforcement: Systematic Failures Exposed
The outrage over the term “taking in” is directly tied to anger over inadequate law enforcement regarding the protection of women in rural China.
Years ago, local police in Heshun County, where Zhang’s family lives, were already aware of a mentally unstable woman being “taken into” a man’s home and giving birth to his children. After all, both children had a hukou (household registration). Chinese media report that police officers visited the home multiple times and allegedly continued efforts to search for her family, which indicates they understood her situation. People wonder how they could let this go on, given Zhang’s continued sexual relations with her—wouldn’t that constitute rape?
Female commenter and author Zheng Yuchuan (@郑渝川) suggested that Bu’s case is particularly troubling because of systematic failure at all levels. She wrote:
“Despite population censuses, pandemic prevention measures like mass nucleic acid testing and vaccinations, as well as the issuance of birth certificates, household registrations, and school admission procedures for the two children—every single step was carried out flawlessly. Isn’t this the biggest joke within the current institutional system?”
Although there are reports emphasizing the continued efforts of the police to find Bu’s family, many netizens aren’t convinced: “Why is it that the police took blood samples and conducted facial recognition comparisons, yet after 13 years, they achieved nothing? Meanwhile, a volunteer, using just a bit of intelligence, managed to make her write down some names, and this bizarre case was solved.”
Law blogger Zhang San (@张三同学) commented: “A single crime pollutes a river; a single act of unjust law enforcement pollutes the entire water source.”
3. A Brilliant Mind: Bu Xiaohua’s Academic Achievements
Another recurring topic is Bu’s academic achievements before her life with the Zhang family. Bu was a student in Yanshan University’s (燕山大学) Mechanics and Engineering program, a prestigious major.
In 2004, she wrote a thesis titled “Temperature Field of a Thin Plate with Curved Cracks During Electrothermal Crack Arrest” (带有曲线裂纹薄板电热止裂时的温度场). Her 2006 thesis was “Small Bending Deformation of an Elastic Thin Plate Under Continuous Transverse Flow-Around Conditions” (不间断横向绕流条件下弹性薄板的小弯曲变形). She obtained her MA degree in 2008.
Bu had planned to continue in academia, but due to an expired ID card, she was unable to register for her Ph.D. exam—a setback that marked the beginning of her rapidly deteriorating mental health. This eventually led to her leaving her home one day in 2011, vanishing without a trace, and ending up in her dire situation with the Zhang family.
Her education is significant to the story in many ways. First, it serves as an important bridge to her past. One of her former professors, the 82-year-old Bai Xiangzhong (白象忠), was one of the names Bu first wrote on a note when volunteers from the missing persons organization came to her house and asked her about her life.
In recent news, it became known that Bai Xiangzhong learned of Bu’s story and was moved to tears upon hearing about her circumstances.
Bu’s education is also an important part of her identity. Recent videos showed Bu reading a book and pushing back her glasses—which she hadn’t had for 13.5 years—as if it was the most normal thing in the world.
One popular Weibo blogger (@我不是谦哥儿) wrote:
“More than the Master’s degree she obtained years ago, it’s this natural skill [the way she reads and pushes back her glasses] in which we can directly observe and vividly feel the life she had. We can feel that, if it were not for the dusky farmhouse in the mountainous area where she got trapped, there would have been an entirely different possibility [for her life].”
But her education is also significant in other ways. It shows that it is not just low-income, less-educated, rural women who can become victims of rape and human trafficking, but that even women with a university degree can end up in such situations.
4. Bu Xiaohua’s Case: A Reflection of Larger Social Issues
In the end, the story of Bu Xiaohua is attracting so much attention because she represents much more than just herself.
One of the most well-known stories similar to hers is that of Xiao Huamei (小花梅), the mother of eight children who was found tied to a shed in Xuzhou in 2022. After her story became a major trending topic on Chinese social media, local authorities launched a thorough investigation and uncovered the woman’s true identity. They found that she had been a victim of human trafficking back in 1998.
Like Bu, Xiao Huamei also suffered from mental illness. And similar to Bu’s case, local authorities failed to step in. The family received subsidies, and local officials approved the marriage between the mentally ill woman and her husband, Dong Zhimin, who was later sentenced to prison for his involvement in the human trafficking case.
This all brings back associations with the Chinese film Blind Mountain (盲山, 2007). Directed by Li Yang (李杨), the movie revolves around Bai Xuemei (白雪梅), a recent college graduate who is tricked into traveling to a remote mountain village under the pretense of securing a job. Once there, she is drugged, kidnapped, and sold into a forced marriage with a rural farmer. Trapped in the isolated and impoverished village, she faces constant physical and psychological abuse from her “husband,” his family, and even the local community, who see her captivity as normal or necessary. Despite multiple attempts to escape, she is repeatedly caught and encounters indifference or complicity from those around her, including the police. She is only rescued years later.
Films such as Blind Mountain and the 2022 case of Xiao Huamei have helped create more awareness of the vulnerable position of Chinese women in rural areas, particularly those dealing with mental or physical disabilities. Last year, a marriage in Henan was denied after a local official found the woman, who was deaf and mute, had not learned sign language and could not write (read more).
But the problem persists. China, particularly its rural villages, faces a shortage of women stemming from the decades-long one-child policy and a traditional preference for boys. This has been further exacerbated by women migrating out of villages in search of better prospects. As a result, many rural single men are unable to marry, especially when they face additional challenges such as poverty or disability. Since marriage and children are considered social norms, these men and their families are often willing to take drastic measures. This situation has fueled the human trafficking of women for forced marriage in China since the 1980s.
“Why not re-release Blind Mountain?” some wonder. “It feels so relevant today.”
As for Bu, she is currently doing well given the circumstances. Her brother, who searched for her for so many years, is determined to take care of his sister. “My little sister is the treasure of our entire family,” he recently said. “Every day that I am on this earth is a day that I will take care of her.”
By Manya Koetse
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China Insight
Story of Chinese Female MA Graduate Going Missing for 13 Years Sparks Online Storm
The story of the Chinese MA graduate, Ms. Bu, who disappeared in 2011 brings back memories of the Xuzhou mother of eight, who was later revealed to be a victim of human trafficking.
Published
1 month agoon
December 10, 2024Once a promising Master’s graduate in Engineering, Ms. Bu went missing for 13.5 years. Her return marks the end of her family’s long search, but it is the beginning of an online movement. Chinese netizens are not only demanding answers about how she could have remained missing for so long but also want clarity about the puzzling inconsistencies in her story.
Over the past few days, Chinese social media users have been actively spreading awareness about a case involving a Chinese woman who they suspect became a victim of human trafficking.
Netizens trying to draw attention to this story used the hashtag “Female MA Graduate Becomes a Victim of Human Trafficking” (#女硕士被拐卖#). Between December 6 and December 10, the hashtag garnered 150 million views on Weibo.
The case centers on a Chinese female Master’s graduate from Yuxi District in Shanxi Province’s Jinzhong, who went missing for over thirteen years. Now reunited with her family, netizens are demanding clarity and answers about how she could have disappeared for so long.
This case, which has sparked emotional and outraged responses online, brings back memories of another incident that became a landmark moment for online feminism in China: the case of the Xuzhou mother of eight children, who was discovered chained in a shed next to her family home. Her husband was later sentenced to nine years in prison for his role in her human trafficking.
A Niece’s Search into the Origins of Her Mysterious Aunt
The online movement to raise awareness about this case began well before it gained traction on December 6. It all started when a young woman named Zhang (张) from He Shun County (和顺县) contacted a volunteer group dedicated to reuniting missing individuals. On November 25 of this year, Zhang sought their help in tracking down the family of her somewhat mysterious “aunt.”
According to Zhang, her aunt—who suffered from mental illness—had been living with her uncle for over a decade. Despite this long history, the family knew almost nothing about her past. Wanting to know more, Zhang reached out to the group in hopes of learning about her aunt’s origins.
Zhang claimed that her “aunt” had wandered into their family home one day fifteen years ago. Although they reportedly informed the police, no action was taken, and they allegedly decided to “take her in.” After about two years, she ended up living with Zhang’s uncle, with whom she had two children.
When volunteers visited the family home, they found that the “aunt” was literate and appeared to be well-educated. As reported by the popular WeChat account Xinwenge (December 4 article), the volunteers gradually guided the woman into revealing her name, her family members’ names, and the university she attended.
After passing this information to the police, they confirmed her identity as ‘Ms. Bu’ (卜女士), a missing person from Jinzhong’s Yuxi, about a 2.5-hour drive from He Shun County.
On November 30, Ms. Bu finally returned home, where her 75-year-old father had prepared a welcome banner for her. She was accompanied by her “husband” and their two children, a 12-year-old son and an 8-year-old daughter.
Although Bu initially did not seem to recognize her father, Chinese media reported that she eventually smiled when he brought out her glasses, which she had worn as a student.
From Doctorate Pursuit to Disappearance
Ms. Bu was born in 1979. As a bright young woman, she graduated high school, attended college, and earned her master’s degree in engineering in 2008. Bu planned to pursue a doctorate afterward. However, due to not renewing her ID card in time, she failed to register for her doctoral exam.
This caused severe stress, and she subsequently developed schizophrenia. Her brother recalled that it was not the first time she had struggled with mental health issues—she had undergone various treatments at multiple hospitals for mental illness between 2008 and 2011.
At the time, Bu reportedly received medical treatment. While recovering at home after being discharged, the then 32-year-old Bu suddenly disappeared in May 2011. Although she was reported as a missing person, her family did not hear from her for over 13 years.
But this is where the questions arise. According to Ms. Zhang, her “aunt” had first walked into their home fifteen years ago, which is impossible since Bu did not go missing until May 2011.
Other aspects of Bu’s disappearance also raise questions. How did she end up in He Shun County? Why did the Zhang family not seek help all these years? And how was she able to have two children with her “husband” despite her fragile mental state?
Authorities Get Involved
While the story of Ms. Bu has received considerable online attention over the past few days, a joint investigation team was set up in Shanxi’s He Shun County to investigate the case. While investigations are still ongoing, new reports suggest that, after her disappearance in May 2011, Bu spent some time wandering alone in multiple nearby villages for over ten days in July and August of that year, exhibiting signs of mental illness.
She was later taken in by Mr. Zhang, a 45-year-old villager, who is now the target of an active criminal investigation. Zhang was aware of Ms. Bu’s mental condition yet engaged in relations with her, resulting in children.
Bu has now been hospitalized for treatment, and authorities are providing support to her children. It is unclear if they will remain with their father—custody arrangements will be determined based on the outcome of the case.
On social media, interest in the case is only growing. On Tuesday, a Xinhua post detailing the latest updates on the case received over 433,000 likes and 44,000 shares shortly after it was posted.
Despite the official updates, questions continue to surround the case of Ms. Bu, nicknamed ‘Hua Hua’ (花花). Given that her mental illness was apparent to so many, why did local authorities fail to intervene earlier? Particularly during the strict social controls and widespread testing of China’s ‘zero-Covid’ era, it is hard to believe that local authorities were unaware of her existence and her mental state. These criticisms and questions are flooding social media and growing louder as more details about her past emerge.
Ms. Zhang, the family niece, further revealed in a livestream that ‘Hua Hua,’ who was reportedly sleeping under a bridge before being taken in by the Zhang family, actually had more than two children. However, as of the time of writing, the fate of these additional children remains unclear.
This case also brings back memories of the Xuzhou mother of eight, another victim of mental illness who was nonetheless “married” to her “husband” and gave birth to eight children. Her story sparked a massive online outcry over how local authorities were complicit in enabling such abuses.
“From the Xuzhou chained woman to the missing Ms. Bu, these women’s tragedies cannot remain incomplete stories,” author Ma Ning (麻宁) wrote on Weibo. “Women are not commodities for marriage and reproduction (…) Let’s continue to follow this case, not just to seek justice for Ms. Bu but also to protect ourselves.”
See more about this story in our follow-up article here.
By Manya Koetse, with contributions by Miranda Barnes
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