Abstract
BackgroundIn South Africa, gender inequality dominated by males and heterosexual HIV epidemic are associated with high HIV infection. Underlying epidemiological and social determinants driving HIV acquisition and transmission are critical to understand the extent and complexity of sexual networks as primary mechanisms through which HIV is likely to spread. The aim of the study is to provide an overview of empiric evidence that links the complex interaction of risk of HIV infection in men.Methods and analysisWe will conduct a systematic scoping review to identify, describe, and map literature on the dynamics of HIV infection in men, and we will determine the quality of the studies reporting on the dynamics of HIV infections in men. Primary research articles, published in peer-reviewed journals, review articles, and gray literature that address the research question, will be included. We will search PubMed, Web of Knowledge, Science Direct, EBSCOhost, Google Scholar, World Health Organization library, and UNAIDS database. Reference lists and existing networks such as government organizations and conferences will also be included to source relevant literature. Two independent reviewers will extract data in parallel from all relevant search engines, using specific inclusion and exclusion criteria. A thematic content analysis will be used to present the narrative account of the reviews, using NVivo version 10.DiscussionWe anticipate finding relevant literature on the dynamics of HIV transmission in South African men. Once summarized, data will be useful to guide future research.Systematic review registrationPROSPERO CRD42016039489
Highlights
South Africa accounts for 18% of global Human immunodeficiency virus (HIV) infections, with approximately 6.7 million people infected [1]
In the South African context, especially in Black Africans, gender norms play a crucial role in sexual relationships with males taking precedence in decision-making, and views from men are respected by most women [12]
The current scoping review will provide evidence of the existence of complex interactions of risks undertaken by men, leading them to high risks to HIV acquisition and transmission and will provide evidence to refine future research agenda and provide directions to future research
Summary
South Africa accounts for 18% of global HIV infections, with approximately 6.7 million people infected [1]. HIV surveillance and preventive intervention research has largely focused primarily on females [5,6,7,8,9,10,11]. This population has received overwhelming attention, the prevalence and the rates of new infections continue to increase. With high gender inequalities in South Africa, being one explanation, it has made it difficult for females to take control in their sexual encounters. In South Africa, gender inequality dominated by males and heterosexual HIV epidemic are associated with high HIV infection. The aim of the study is to provide an overview of empiric evidence that links the complex interaction of risk of HIV infection in men
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