{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:27:43Z","timestamp":1785403663874,"version":"3.56.0"},"reference-count":19,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T00:00:00Z","timestamp":1753142400000},"content-version":"unspecified","delay-in-days":202,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["Grant 5R21MH115820-02"],"award-info":[{"award-number":["Grant 5R21MH115820-02"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Law. Med. Ethics"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>People with HIV (PWH) often encounter health-harming legal needs that impede their access to care, including structural issues such as racism, discrimination, unstable housing, and stigma. Medical-Legal Partnerships (MLPs) have emerged as a promising strategy to address these challenges within HIV care settings. This study aimed to identify the characteristics and strategies of MLPs that are most effective in improving HIV care continuum outcomes. A mixed-methods analysis was conducted utilizing data from a cross-sectional survey of 60 providers in MLPs. Categorical features of MLPs, such as the personnel responsible for screening for health-harming legal needs (HHLN), the organizational structure (community-based vs. institutional), and the delivery of legal services, were examined. A multiple, variable linear regression analysis was conducted to explore the association between these variables and outcomes. Community health organizations were found to be associated with a greater number of patients achieving suppressed HIV viral load. Additionally, a higher number of on-site services were positively correlated with a greater percentage of PWH achieving decreased viral load and completing follow-up appointments. Findings underscore the significance of comprehensive care approaches within MLPs for enhancing positive patient outcomes in HIV care settings.<\/jats:p>","DOI":"10.1017\/jme.2025.10142","type":"journal-article","created":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T05:45:19Z","timestamp":1753163119000},"page":"530-537","source":"Crossref","is-referenced-by-count":0,"title":["Organizational Characteristics of Medical-Legal Partnerships in HIV Care: Exploring Challenges and Opportunities through a Mixed Methods Study"],"prefix":"10.1017","volume":"53","author":[{"given":"Allen","family":"Partono","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/036nfer12","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Central Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Munoz-Laboy","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05qghxh33","id-type":"ROR","asserted-by":"publisher"}],"name":"Stony Book University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2291-2674","authenticated-orcid":false,"given":"Ashley","family":"French","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/036nfer12","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Central Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"Davison","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/036nfer12","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Central Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang","family":"Zhu","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/036nfer12","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Central Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Martinez","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/036nfer12","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Central Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,7,22]]},"reference":[{"key":"S1073110525101423_r3","unstructured":"3. Dale et al., \u201cStructural equation model\u201d; Fast Facts: HIV in the US by Race and Ethnicity."},{"key":"S1073110525101423_r7","unstructured":"7. Kay, Batey, and Mugavero, \u201cThe HIV treatment cascade\u201d; Fast Facts: HIV in the US by Race and Ethnicity."},{"key":"S1073110525101423_r8","doi-asserted-by":"publisher","DOI":"10.1089\/aid.2017.0016"},{"key":"S1073110525101423_r13","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedhc.2023.11.002"},{"key":"S1073110525101423_r16","doi-asserted-by":"publisher","DOI":"10.4135\/9781483384436"},{"key":"S1073110525101423_r19","doi-asserted-by":"publisher","DOI":"10.1177\/00333549231170216"},{"key":"S1073110525101423_r1","unstructured":"1. Fast Facts: HIV in the US by Race and Ethnicity (Centers for Disease Control, May 21, 2024), https:\/\/www.cdc.gov\/hiv\/data-research\/facts-stats\/race-ethnicity.html."},{"key":"S1073110525101423_r11","unstructured":"11. Health Care\u2019s Blind Side: The Overlooked Connection between Social Needs and Good Health (Robert Wood Johnston Foundation, 2011), https:\/\/vcha.uic.edu\/wp-content\/uploads\/sites\/169\/2021\/03\/Health-cares-blind-side_RWJF.pdf."},{"key":"S1073110525101423_r9","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-020-02847-9"},{"key":"S1073110525101423_r15","unstructured":"15. Spach, David H. , \u201cRetention in HIV Care,\u201d National HIV Curriculum, https:\/\/www.hiv.uw.edu\/go\/basic-primary-care\/retention-care\/core-concept\/all."},{"key":"S1073110525101423_r18","doi-asserted-by":"crossref","first-page":"E640","DOI":"10.1001\/amajethics.2024.640","article-title":"Why MLP Legal Care Should Be Financed as Health Care","volume":"26","author":"Sage","year":"2024","journal-title":"AMA Journal of Ethics"},{"key":"S1073110525101423_r6","doi-asserted-by":"publisher","DOI":"10.1186\/s12981-016-0120-0"},{"key":"S1073110525101423_r5","first-page":"269","article-title":"Examining inequities in rates of undiagnosed HIV and rectal STIs in a large nationwide cohort study of sexual minority men","volume":"98","author":"Jonathon Rendina","year":"2022","journal-title":"Sexually Transmitted Infections"},{"key":"S1073110525101423_r2","doi-asserted-by":"publisher","DOI":"10.1037\/hea0001275"},{"key":"S1073110525101423_r4","unstructured":"4. Dale et al., \u201cStructural equation model.\u201d"},{"key":"S1073110525101423_r10","unstructured":"10. HIV Stigma and Discrimination in the U.S.: An Evidence-Based Report (Lambda Legal: making the case for equality, November, 2010), https:\/\/legacy.lambdalegal.org\/sites\/default\/files\/publications\/downloads\/fs_hiv-stigma-and-discrimination-in-the-us_1.pdf."},{"key":"S1073110525101423_r17","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-023-08546-0"},{"key":"S1073110525101423_r12","doi-asserted-by":"publisher","DOI":"10.3389\/frph.2022.871101"},{"key":"S1073110525101423_r14","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-019-0861-y"}],"container-title":["Journal of Law, Medicine &amp; Ethics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1073110525101423","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T13:22:58Z","timestamp":1770297778000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1073110525101423\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025]]}},"alternative-id":["S1073110525101423"],"URL":"https:\/\/doi.org\/10.1017\/jme.2025.10142","relation":{},"ISSN":["1073-1105","1748-720X"],"issn-type":[{"value":"1073-1105","type":"print"},{"value":"1748-720X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]}}}