People may be thinking they are no longer infectious because their viral load is suppressed. It may be that we are depending on individual physicians to address this larger public health issue, and that's not really working. They may not have the training to counsel someone about these things. The answer is an integrated approach that looks at substance issues, says DiClemente. It's a matter of cataloging services and making links to services.
Rural issues remain understudied.
They don't have these kinds of resources. I think we're starting to look in that direction, that HIV isn't bound by city limits. It also confirms many suspicions, that even though adolescents may be diagnosed and under treatment for HIV, that in and of itself does not necessarily mean they will modify their behavior. At least half of all new HIV infections occur in people under age 25. One expert suggests that prevention efforts be linked with medical care and other services, such as counseling and shelter services, for a comprehensive approach.