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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.

Manya Koetse

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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.

One WeChat blogger’s response to the rise in number of HIV cases among Chinese elderly men (脊梁in上海).

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.

A man washed himself with detergent after visiting a prostitute.

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

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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©2018 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com

Manya Koetse is the editor-in-chief of www.whatsonweibo.com. She is a writer and consultant (Sinologist, MPhil) on social trends in China, with a focus on social media and digital developments, popular culture, and gender issues. Contact at manya@whatsonweibo.com, or follow on Twitter.

1 Comment

1 Comment

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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…

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China Health & Science

‘Two Sessions’ Proposed Ban on Single Women Freezing Their Eggs

Weibo talks egg freezing.

Manya Koetse

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It was the number one trending topic of the day on Weibo earlier this week: the proposal to make it illegal for hospitals and clinics in China to provide the service of freezing eggs to unmarried women.

Chinese physician Sun Wei (孙伟), National People’s Congress delegate, is the person to raise the issue of no longer allowing medical facilities in China to freeze eggs. She is the director of the Reproductive Medicine Unit at the No.2 Affiliated Hospital of Shandong University of Traditional Chinese Medicine.

Sun Wei submitted the proposal during the Two Sessions (lianghui), China’s largest annual legislative meetings, in order to encourage Chinese citizens to “marry and reproduce at the appropriate age.” Sun also mentions potential health risks as a reason to ban egg freezing services.

On Weibo, one news post reporting on the issue received nearly 835,000 likes. The hashtag “Proposal to Prohibit Single Women From Freezing Their Eggs” (#建议禁止单身女性冷冻卵子#) received over 710 million views.

Sun Wei (image by Vista看天下).

The proposal goes against the proposition of a National Committee member during the lianghui, that of Peng Jing (彭静), that supports single women’s rights in freezing their eggs.

It also comes after the 31-year-old Teresa Xu (Xu Zaozao) filed a lawsuit against a Beijing medical facility in December of 2019 for refusing her the treatment of freezing her eggs, arguing it was effectively discriminating against single women. In doing so, Xu challenged China’s regulations on human assisted reproduction, which bar single women from getting the procedure.

Artificial insemination itself is not illegal in China when it is done by a married couple; it is only against the law when done by those who are not lawfully married.

It is not the first time the discussion on egg freezing erupts on Chinese social media. In 2015, Chinese actress and director Xu Jinglei (徐静蕾) stated in an interview that she had nine eggs frozen in the United States at the age of 39, calling them her “back-up plan.”

Xu’s statement made artificial insemination an issue of public interest, especially because unmarried women in China cannot carry out this procedure.

Although single women in China technically could have their eggs frozen – if they have the financial capacity to do so – they would not be able to have them inseminated unless they provide three certificates: their identification card, their marriage certificate, and their ‘zhunshengzheng‘ (准生证 ) – the ‘Permission to give Birth’, which would not be issued without the marriage certificate. In short: single women would not be able to have a baby through artificial insemination, because they would not be able to get the required legal papers to go through with the procedure.

At the time of the 2015 discussion, the famous Chinese blogger and writer Han Han (韩寒) shared his thoughts on the issue: “Why can’t women decide for themselves whether or not they want to have children? And what if an unmarried woman does get pregnant, and they don’t get a ‘Permission to give Birth’? Then the child cannot even get a residence registration.”

“Why should having a baby be bound together with marriage? Even I, a simple straight guy, cannot see the logic in this,” Han Han wrote.

In the discussions that are going around Chinese social media this week, there are many netizens that take a similar stance as Han Han did, arguing that single women should have the right to freeze their eggs, and wondering why they would not be allowed to do so in the first place.

Various Weibo commenters write that individuals should have the right to make their own decisions about whether or not they would like to have children. One Weibo thread where people are asked about their opinion on the matter, the majority of the 16,000+ responses say they support single women being able to freeze their eggs.

“[I] support [it], [I] support [it], [I] support [it], [I] support [it], [I] support [it]…” – this Weibo user clearly thinks single women should be able to decide for themselves whether or not they would like to freeze their eggs.

However, there are also some web users opposing this idea, arguing that it is “not morally right” and does not provide a “normal family environment” to children.

Whether Sun Wei’s proposal will lead to actual changes in the law is yet to be seen, although it would virtually not alter the current situation regarding egg freezing in China. It already is virtually impossible for unmarried women to freeze their eggs as a “back up plan” and it would just make the impossible even more impossible.

By Manya Koetse
With contributions from Jialing Xie

Featured image Photo by 东旭王

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©2020 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

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China Health & Science

Schools in China Are Reopening, But Will Lunch Breaks Ever Be the Same Again?

Chinese students are back to school, but school life is not back to normal.

Manya Koetse

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As most schools across China are opening their doors again, social media users are sharing photos of what school life looks like in the post-COVID-19 outbreak era this week.

Some videos and images that are circulating on Weibo and Wechat show somewhat dystopian images of the post-COVID-19 school life at primary and (senior) high schools – students eating while standing outside in straight lines, or pupils wearing face masks taking turns to eat their lunch (supposedly to reduce the chances of contagion via respiratory droplets, see tweeted video below).

Most schools in China have already started or will open later this month. Only Hubei province and Beijing have not yet announced school reopening plans, Caixin reports.

But although China is gradually back to business after its weeks-long coronavirus lockdown, daily life is far from normal as the country remains on high alert for a possible second wave of COVID-19 infections.

Schools are therefore also taking strict precautions to reduce infection risks both in and outside of the classroom.

Lunch break policy and procedures are just one of the many things that have changed at Chinese schools now.

On Weibo, ‘Henan Education’ is one of many accounts posting about the dramatically different way of eating at China’s school canteens in these post-COVID-19-outbreak times.

In Xingyang city, for example, special supervisors have been allocated to high schools to maintain the order and reduce the number of students gathering at the school entrances and assist students with lunch break seatings at the canteen.

Canteen at Xingyang’s Second Senior High School

At a senior high school in Kaifeng, all students have their lunch breaks in the canteen at one side of the table only, leaving enough space in between the other students.

Other schools have set up their canteens like examination rooms, only allowing one student per table, only facing one direction.

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One Weibo user posts how her Tianjin school is preparing for the lunch break arrangements, with indicators on the floor marking the direction students should walk in and the distance they have to keep from each other.

One other school in Jiangsu’s Huai’an has put dividers on all lunch tables to separate students while having their lunch break.

“It feels like taking exams,” some commenters write about the new lunch break policies. “We can no longer look around and whisper in each other’s ear.”

One school board in the city of Beihai has decided to make use of its new separating screens to stimulate more studying during lunch breaks; they have printed study material for the upcoming ‘gaokao‘ exams on the dividers.

Some netizens think that other schools will follow this example if it appears to be effective. In that way, the post-COVID-19 lunch break will turn into just another study opportunity.

For more COVID-19 related articles, please click here.

By Manya Koetse (@manyapan)
With contributions from Miranda Barnes
Follow @whatsonweibo

Spotted a mistake or want to add something? Please let us know in comments below or email us. First-time commenters, please be patient – we will have to manually approve your comment before it appears.

©2020 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

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