a Servicio de Epidemiología , Agència de Salud Pública de Barcelona , Barcelona , Spain.
b Universitat Rovira i Virgili (URV) , Tarragona , Spain.
Glob Public Health. 2019 May;14(5):601-620. doi: 10.1080/17441692.2018.1493133. Epub 2018 Jul 4.
This study aimed to describe the methodological characteristics of publications on HIV and masculinity, to identify possible information gaps and determine the main thematic areas. A systematic review was conducted of gender, masculinity, HIV infection and other sexually-transmitted infections in original articles published between 1992 and 2015. Original studies published from Pubmed and Scopus were included. A total of 303 articles were identified, of which 187 were selected. Most of the studies were qualitative and the most widely used technique was the interview. Twenty-nine-point five percent of studies were performed in South Africa, 20.8% in the USA, and 3.2% in Europe. Fifteen percent of the studies were performed in heterosexuals, 12.8% in men who have sex with men, and 60% did not specify the sexual orientation of the population. Eight thematic areas were defined, the most frequent being sexuality and risk behaviours, defined by men's need to demonstrate they were sexually active and a breadwinner. Most studies on HIV and masculinity show a gender bias by not specifying the sexual identity of the population. Studies should consider diversity in sexual and cultural identity in different contexts, including in Europe, to carry out more effective HIV interventions from a masculinity perspective.
本研究旨在描述有关艾滋病毒和男性气质的出版物的方法学特征，以确定可能存在的信息空白，并确定主要的主题领域。对 1992 年至 2015 年间发表的关于性别、男性气质、艾滋病毒感染和其他性传播感染的原创文章进行了系统综述。纳入了来自 Pubmed 和 Scopus 的原始研究。共确定了 303 篇文章，其中 187 篇被选中。大多数研究为定性研究，最广泛使用的技术是访谈。29.5%的研究在南非进行，20.8%在美国进行，3.2%在欧洲进行。15%的研究针对异性恋者，12.8%针对男男性行为者，60%的研究没有具体说明人群的性取向。确定了 8 个主题领域，最常见的是性行为和风险行为，这是由男性表现出性活跃和养家糊口的需要所定义的。大多数关于艾滋病毒和男性气质的研究存在性别偏见，没有具体说明人群的性身份。研究应考虑不同背景下（包括欧洲）的性和文化认同的多样性，从男性气质的角度进行更有效的艾滋病毒干预。
