Advertisement Covers CROI 2016


What's the Most Overlooked Issue in HIV Care Today?

March 24, 2016


David Alain Wohl, M.D.

David Alain Wohl, M.D.

Dr. Wohl is an associate professor of medicine in the Division of Infectious Diseases at the University of North Carolina and site leader of the University of North Carolina AIDS Clinical Trials Unit at Chapel Hill.

I don't know if it's still an overlooked issue or not, but I do think that we've played this tune over and over that maybe we don't hear anymore. But the biggest problem in my clinic is not drug resistance; it's not even drug interactions; it's not cardiovascular disease or stroke: It's mental health and substance abuse issues. Again, I don't think it's overlooked, there are plenty of people who are paying attention to that, but my patients have been challenged for a really long time because they have a hard time dealing with life. And those are the people who don't do as well; those are the people who drop out of care; those are the people who don't stay in care, don't engage in care; and those are the people who die. And I suspect those are the people who transmit the virus to others.

We just don't have a very good system in this country for dealing with things like that, like mental health. And you can't go to a clean, well-lit place and get mental health care. And people who have substance abuse problems have to get on lists. And if they're lucky, they get into a program that works maybe 30% of the time. That's just tragic. So for me that's a major, major problem.

This article was provided by It is a part of the publication The 23rd Conference on Retroviruses and Opportunistic Infections.


Add Your Comment:
(Please note: Your name and comment will be public, and may even show up in
Internet search results. Be careful when providing personal information! Before
adding your comment, please read's Comment Policy.)

Your Name:

Your Location:

(ex: San Francisco, CA)

Your Comment:

Characters remaining:

Please note: Knowledge about HIV changes rapidly. Note the date of this summary's publication, and before treating patients or employing any therapies described in these materials, verify all information independently. If you are a patient, please consult a doctor or other medical professional before acting on any of the information presented in this summary. For a complete listing of our most recent conference coverage, click here.


The content on this page is free of advertiser influence and was produced by our editorial team. See our content and advertising policies.