Examining the health and health service utilization of heterosexual men with HIV: A community-informed scoping review

The prevalence of HIV infection among heterosexual men has increased. Consequently, the need for health and support services for this group is likely to increase. We conducted a scoping review of studies regarding the health and health service use of heterosexual men with HIV that was informed by research priorities identified by this community. We searched six databases from inception to August 2014. We included all English-language qualitative and quantitative studies examining the health and health service use of heterosexual men with HIV. Our search strategy yielded 2665 references, of which 70 were included in the scoping review. We summarized the research into the following domains identified by summit participants: treatment of HIV and its complications (n = 9), health and social support services utilization (n = 27), social determinants of health (n = 20), prevention (n = 11), family planning (n = 4) and psychosocial research (n = 33). Key findings from the review included poor mental health-related well-being, over-representation among “late presenters” to care and greater fear of disclosure of HIV status relative to men who have sex with men. In general, research conducted to date was not well aligned with the priorities identified by the community

• Determinants of Health
  • Stigma/discrimination
• Population(s)
  • Heterosexual men
  • General HIV+ population
• Engagement and Care Cascade
  • Linkage/engagement in care
  • Treatment
• Prevention
  • Sexual risk behaviour