Evidence map›Paper›PMID 41073583›Full record

Trial reportAIDS and behavior2026

Integrating Legal Aid into HIV Care: Evaluating the Impact of a Medical-Legal Partnership on Viral Suppression Outcomes.

Omar Martinez, Sandra Rodriguez, Andrew Maude, Theresa Brabson, Isa Fernandez, Cui Yang, Robin Davison, Ashley French, Hervette Nkwihoreze, Florence Marie Momplaisir and 11 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Omar MartinezUniversity of Central Florida, College of Medicine, Orlando, FL, USA. omar.martinez@ucf.edu.
Sandra RodriguezThe Philadelphia AIDS Consortium, Philadelphia, PA, USA.
Andrew MaudeLegal Clinic for the Disabled, Philadelphia, PA, USA.
Theresa BrabsonLegal Clinic for the Disabled, Philadelphia, PA, USA.
Isa FernandezNova Southeastern University, Miami, FL, USA.
Cui YangRutgers School of Public Health, Rutgers University, New Brunswick, NJ, USA.
Robin DavisonUniversity of Central Florida, College of Medicine, Orlando, FL, USA.
Ashley FrenchUniversity of Central Florida, College of Medicine, Orlando, FL, USA.
Hervette NkwihorezePerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Florence Marie MomplaisirPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Lisa PozziThe Philadelphia AIDS Consortium, Philadelphia, PA, USA.
Deja AlvarezThe Philadelphia AIDS Consortium, Philadelphia, PA, USA.
Philip McCallionTemple University, Philadelphia, PA, USA.
Souhail Malave-RiveraUniversity of Puerto Rico, San Juan, PR, USA.
Caroline KingoriCollege of Health Sciences and Professions, Ohio University, Athens, OH, USA.
Huanmei WuTemple University, Philadelphia, PA, USA.
Feifan LiuUMass Chan Medical School, Worcester, MA, USA.
Andrea MontanezLGBT Task Force, Washington, DC, USA.
Amanda Cruz-GerenaUniversity of Central Florida, College of Medicine, Orlando, FL, USA.
Samantha MortonSamantha Morton Consulting LLC, Boston, MA, USA.
Miguel Munoz-LaboyStony Brook University School of Social Welfare, Stony Brook, NY, USA.

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Ann M Chahroudi, Colleen F Kelley · 2002 to 2026
$74.0M
Forging sustainable solutions for HIV continuity of care through medical-legal partnershipsR34MH125718 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI MARTINEZ, OMAR, MCCALLION, PHILIP · 2021 to 2023
$722k
NIAID NIH HHS P30 AI050409NIMH NIH HHS 5R34MH125718NIMH NIH HHS R34 MH125718
6 · The paper itself

Abstract

Social and structural determinants of health (SSDoH), including legal challenges related to housing, employment, and public benefits, often obstruct HIV care adherence and viral suppression. Medical-Legal Partnerships (MLPs) have emerged as a promising structural intervention to mitigate these barriers but are underutilized in HIV service settings. This feasibility and acceptability trial evaluated the impact of an MLP intervention compared to treatment-as-usual (TAU) among people with HIV (PWH) in Philadelphia, Pennsylvania. Two matched service organizations were randomized to MLP or TAU. The MLP included interdisciplinary training, standardized legal screening by peer navigators, and integration of legal services from a legal aid organization. A total of 202 participants were enrolled using a multi-pronged recruitment strategy that included venue-based outreach, online recruitment methods, and peer referrals. Kaplan-Meier survival analyses and logistic regressions assessed the time to viral suppression and likelihood of achieving undetectable viral load at 3 and 6 months. Participants in the MLP site achieved undetectable viral load faster than those in the TAU site in both conservative and robust survival analyses. At 3-month follow-up, MLP participants were significantly more likely to achieve viral suppression (OR = 2.42, 95% CI: 1.06, 5.49, p = .03). Although the 6-month odds ratio was reduced (OR = 2.28, 95% CI: 0.79, 6.57), it did not reach statistical significance. Findings suggest that MLPs can accelerate viral suppression among PWH by addressing health-harming legal needs. This study supports the integration of legal services into HIV care as a promising strategy to improve outcomes and reduce disparities.

Indexed as

HIV InfectionsViral LoadAdultAnti-HIV AgentsFeasibility StudiesFemaleHumansMaleMiddle AgedPhiladelphiaTreatment OutcomeAnti-HIV AgentsHealth-harming legal needs (HHLN)HIV care continuumMedical-legal partnership (MLP)Social and structural determinants of health (SSDoH)Structural interventionsViral suppression

Identifiers

PMID41073583
PMCPMC12579377

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.