Adult Diaper Waste in Landfills: A Critical Review of Systemic Failure and Pragmatic Pathways

Authors

DOI:

https://doi.org/10.55845/joce-2026-41345

Keywords:

Adult Diaper, Absorbent Hygiene Products (AHPs) , Incontinence Products, Waste-to-Energy (WtE), Pyrolysis, Extended Producer Responsibility (EPR), Landfill

Abstract

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.

References

BASF, Essity, & Technical University of Vienna. (2025). Gasification pilot project: Transforming absorbent hygiene products into chemical feedstock [Industry report]. https://chemicals.basf.com/global/en/Petrochemicals/news/p-25-247

Bishop, C., Rodriguez-Cairoli, F., Hagens, A., Bermudez, M. A., Van Kerrebroeck, P., & Collen, S. (2025). Prevalence, socioeconomic, and environmental costs of urinary incontinence in the European Union. European Urology. Advance online publication. https://doi.org/10.1016/j.eururo.2025.05.025 DOI: https://doi.org/10.1016/j.eururo.2025.05.025

Booker, R., & Rippon, J. A. (2020). Absorbent core structures in disposable hygiene products: A review. Journal of Engineered Fibers and Fabrics, 15, 1–12. https://doi.org/10.1177/1558925020923109

Brewster, D. E. T., Rounsefell, D. B., Lansbury, D. N., & O'Brien, P. K. R. (2024). The end-of-life of used pads in Australia--who is filling up the bin? Australian & New Zealand Continence Journal, 30(2). https://doi.org/10.33235/anzcj.30.2.28 DOI: https://doi.org/10.1071/CJ24013

Bus, M. T., Verheijen, E. C., Vaittinen, T., Holzhauer, C., Bangma, C. H., & Leliveld-Kors, A. (2025). Beyond the waste: Reducing the environmental burden of urinary incontinence. European Urology Focus. Advance online publication. https://doi.org/10.1016/j.euf.2025.05.012 DOI: https://doi.org/10.1016/j.euf.2025.05.012

Cano, N. S. D. S. L., Marino, M., Brooks, A. L., Eckelman, M. J., & Bilec, M. M. (2025). Advancing the circular economy of healthcare plastics: A systematic literature review. Resources, Conservation and Recycling, 219, 108317. https://doi.org/10.1016/j.resconrec.2025.108317 DOI: https://doi.org/10.1016/j.resconrec.2025.108317

Chazovachii, P. T., Somers, M. J., Robo, M. T., Collias, D. I., James, M. I., Marsh, E. N. G., Zimmerman, P. M., Alfaro, J. F., & McNeil, A. J. (2021). Giving superabsorbent polymers a second life as pressure-sensitive adhesives. Nature Communications, 12(1), 4524. https://doi.org/10.1038/s41467-021-24488-9 DOI: https://doi.org/10.1038/s41467-021-24488-9

Department of Climate Change, Energy, the Environment and Water. (2022). National waste report 2022. Australian Government. https://www.dcceew.gov.au/sites/default/files/documents/national-waste-report-2022.pdf

Denagbe, W., Mazet, E., Desbrières, J., & Michaud, P. (2025). Superabsorbent polymers: Eco-friendliness and the gap between basic research and industrial applications. Reactive and Functional Polymers, 209, 106278. https://doi.org/10.1016/j.reactfunctpolym.2025.106278 DOI: https://doi.org/10.1016/j.reactfunctpolym.2025.106278

Diadiun, T., Baranova, I., Musozoda, S., Semeniv, D., & Zaporozhska, S. (2021). Commodity analysis of medical products used in adult incontinence. Pharmacia, 68(4), 805–809. https://doi.org/10.3897/pharmacia.68.e73181 DOI: https://doi.org/10.3897/pharmacia.68.e73181

Du, J., Yang, W., Xu, L., Bei, L., Lei, S., Li, W., Liu, H., Wang, B., & Sun, L. (2024). Review on post-combustion CO₂ capture by amine blended solvents and aqueous ammonia. Chemical Engineering Journal, 486, 150954. https://doi.org/10.1016/j.cej.2024.150954 DOI: https://doi.org/10.1016/j.cej.2024.150954

Endo, T., Nagai, Y., & Yamamoto, S. (2023). Applicability of used disposable diapers for soil amendment and the effect of calcium supply. Journal of Material Cycles and Waste Management, 25, 2976–2983. https://doi.org/10.1007/s10163-023-01730-8 DOI: https://doi.org/10.1007/s10163-023-01730-8

Fagerlund, J., Zevenhoven, R., Thomassen, J., Tednes, M., Abdollahi, F., Thomas, L., Nielsen, C. J., Mikoviny, T., Wisthaler, A., Zhu, L., & Biliyok, C. (2021). Performance of an amine-based CO2 capture pilot plant at the Fortum Oslo Varme Waste to Energy plant in Oslo, Norway. International Journal of Greenhouse Gas Control, 106, 103242. https://doi.org/10.1016/j.ijggc.2021.103242 DOI: https://doi.org/10.1016/j.ijggc.2020.103242

Gallardo, A., Bovea, M. D., Ibáñez-Forés, V., Quemades-Beltrán, P., & Pérez-Belis, V. (2025). Selective collection of absorbent hygienic products: The results of a pilot test and waste characterization. Waste Management, 191, 212–219. https://doi.org/10.1016/j.wasman.2024.11.019 DOI: https://doi.org/10.1016/j.wasman.2024.11.019

Gu, X., Sun, M., Long, X., Deng, H., & Wang, Y. (2023). Environmental impact of adult incontinence products in China in the context of population aging. Science of the Total Environment, 875, 162596. https://doi.org/10.1016/j.scitotenv.2023.162596 DOI: https://doi.org/10.1016/j.scitotenv.2023.162596

Holdway, R., & Dowling, M. (2023). Life cycle assessment (LCA) of disposable and reusable nappies in the UK (EV0493). Department for Environment, Food and Rural Affairs (Defra). https://assets.publishing.service.gov.uk/media/659909745eb20e000d07f2a1/EV0493_-_LCA_of_disposable_and_reusable_nappies_in_the_UK.pdf

Hwang, S. C. J., Wu, B. R., Tsai, M., & Tkáč, Š. (2022). Sustainable used diaper recycler. ResearchGate. Retrieved January 7, 2026, from https://www.researchgate.net/publication/365476707_Sustainable_Used_Diaper_Recycler

Indrawati, S., Subagyo, S., & Darmawan, A. (2024). Navigating circular diapers purchasing in a developing country: The critical roles of behavioral control and intention. Cleaner and Responsible Consumption, 15, 100243. https://doi.org/10.1016/j.clrc.2024.100243 DOI: https://doi.org/10.1016/j.clrc.2024.100243

Ishii, S., Shimizu, H., Asakura, K., Kazama, H., Watanabe, M., & Takeuchi, M. (2021). Safety evaluation of recycling process used to produce recycled pulp for adult paper diapers. Regulatory Toxicology and Pharmacology, 122, 104909. https://doi.org/10.1016/j.yrtph.2021.104909 DOI: https://doi.org/10.1016/j.yrtph.2021.104909

International Energy Agency (IEA). (2022). CCUS in clean energy transitions. https://www.iea.org/reports/ccus-in-clean-energy-transitions

Iskandar Shah, D. R. S., Anuar, N. F., Jaafar, M. I., Daud, W. M. A. W., & Aghamohammadi, N. (2025). Towards a greener future of sustainable and circular practices in resource recovery from discarded disposable diaper (D3): A systematic review and meta-analysis. Journal of Material Cycles and Waste Management. Advance online publication. https://doi.org/10.1007/s10163-025-02277-6 DOI: https://doi.org/10.1007/s10163-025-02277-6

Kashyap, D. N., Choudhury, R., Thete, P., Baviskar, S., & Khatwani, P. (2021). Electrically operated hygiene bin to simplify the initial stage of diaper composting. In A. K. Parwani & P. L. Ramkumar (Eds.), Recent advances in manufacturing modelling and optimization (pp. 623–638). Springer. https://doi.org/10.1007/978-981-16-9952-8_54 DOI: https://doi.org/10.1007/978-981-16-9952-8_53

Kawai, K., Oshita, K., & Kusube, T. (2023). Model for projecting the generation of used disposable diapers in the era of depopulation and aging in Japan. Waste Management & Research, 41(6), 1089–1101. https://doi.org/10.1177/0734242X221140031 DOI: https://doi.org/10.1177/0734242X221140031

Kwon, G., Cho, D.-W., Park, J., & Bhatnagar, A. (2023). A review of plastic pollution and their treatment technology: A circular economy platform by thermochemical pathway. Chemical Engineering Journal, 464, 142771. https://doi.org/10.1016/j.cej.2023.142771 DOI: https://doi.org/10.1016/j.cej.2023.142771

Li, S., Zhao, H., Wang, H., Ma, M., Han, J., Yao, L., Li, Y., & Zhang, S. (2023). Diapers to thickeners and pressure-sensitive adhesives: Recycling of superabsorbers via UV degradation. ACS Applied Materials & Interfaces, 15(37), 44186–44193. https://doi.org/10.1021/acsami.3c06999 DOI: https://doi.org/10.1021/acsami.3c06999

Market Growth Reports. (2023). “Adult diaper market”. Retrieved October 26, 2023, from https://www.marketgrowthreports.com/global-adult-diaper-market-20660967

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71 DOI: https://doi.org/10.1136/bmj.n71

Somers, M. J., Alfaro, J. F., & Lewis, G. M. (2021). Feasibility of superabsorbent polymer recycling and reuse in disposable absorbent hygiene products. Journal of Cleaner Production, 313, 127686. https://doi.org/10.1016/j.jclepro.2021.127686 DOI: https://doi.org/10.1016/j.jclepro.2021.127686

Sudhakar, H. (2025). Beyond the Bin: A critical review and strategic framework for sustainable menstrual waste management in India. Social Sciences & Humanities Open, 12, 102226. https://doi.org/10.1016/j.ssaho.2025.102226 DOI: https://doi.org/10.1016/j.ssaho.2025.102226

Vaittinen T, Koljonen K, Tella S, Asikainen E, Laatikainen K. Holistically sustainable continence care: A working definition, the case of single-used absorbent hygiene products (AHPs) and the need for ecosystems thinking. Proc Inst Mech Eng H. 2024 Jun;238(6):667-681. https://doi.org/10.1177/09544119231188860 DOI: https://doi.org/10.1177/09544119231188860

Downloads

Published

17-05-2026

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.

Issue

Section

Review Articles

Categories

How to Cite

Issabayeva, G., Mee Chu Wong, K., Han Lim, B., Hoong Shuit, S., San Thiam, H., & Chan Chong, W. (2026). Adult Diaper Waste in Landfills: A Critical Review of Systemic Failure and Pragmatic Pathways. Journal of Circular Economy, 4(1). https://doi.org/10.55845/joce-2026-41345