Adult Diaper Waste in Landfills: A Critical Review of Systemic Failure and Pragmatic Pathways
DOI:
https://doi.org/10.55845/joce-2026-41345Keywords:
Adult Diaper, Absorbent Hygiene Products (AHPs) , Incontinence Products, Waste-to-Energy (WtE), Pyrolysis, Extended Producer Responsibility (EPR), LandfillAbstract
The increasing use of adult incontinence products, driven by global demographic aging, constitutes a major under-addressed waste stream. Our objective was to address this growing problem through a dedicated critical review focused specifically on adult incontinence product waste. A systematic search (PubMed, Science Direct, Google Scholar; 2020–2025) following a modified PRISMA framework identified 20 studies for thematic synthesis. We outline the persistent synthetic composition of adult diapers and their predominant landfill disposal due to regulatory and infrastructure deficiencies. Critical evaluation of LCA and recycling studies revealed that no recycling process has yet reached technological maturity. Based on our evaluation, we propose a pragmatic framework encompassing: (1) policy intervention to mandate landfill diversion; (2) public education to promote separate disposal; and (3) investment in scalable thermal treatment technologies such as Waste-to-Energy incineration with Carbon Capture Utilization and Storage and pyrolysis. Robust Extended Producer Responsibility schemes, coupled with innovative global funding mechanisms, are necessary to enable sustainable AHP waste management in developing countries.
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Data Availability Statement
The data supporting this review are available in the cited articles. The Excel file documenting the screening process is available from the corresponding author upon reasonable request.
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Copyright (c) 2026 Gulnaziya Issabayeva, Karen Mee Chu Wong, Boon Han Lim, Siew Hoong Shuit, Hui San Thiam, Woon Chan Chong (Author)

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