HIV ReportsLifetime Changes in CD4 T-cell count, Viral Load Suppression and Adherence Among Adolescents Living With HIV in Urban PeruRodriguez, Carly A. MPH*; Kolevic, Lenka MD†; Ramos, Alicia‡; Wong, Milagros‡; Munoz, Maribel‡; Patel, Kunjal ScD§; Franke, Molly F. ScD*Author Information From the *Department of Global Health and Social Medicine, Harvard Medical School §Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, Massachusetts †Infectious Disease, Instituto Nacional de Salud del Niño ‡Socios En Salud Sucursal Peru, Lima, Peru. Accepted for publication September 16, 2019. This work was support by funding from the William F. Milton Fund of Harvard University. The authors have no conflicts of interest to disclose. L.K., M.F.F., and M.M. conceived of the study. M.F.F. designed the study. A.R. and M.W. collected the data and M.M. supervised data collection. C.A.R. conducted the analysis and wrote the first draft. A.R., C.A.R., K.P., L.K., M.F.F., and M.W. interpreted the results. All authors critically reviewed the article and approved the article for submission. Address for correspondence: Molly F. Franke, ScD, Department of Global Health and Social Medicine, Harvard Medical School, 641 Huntington Avenue, Boston, MA 02115. E-mail: firstname.lastname@example.org The Pediatric Infectious Disease Journal: January 2020 - Volume 39 - Issue 1 - p 54-56 doi: 10.1097/INF.0000000000002501 Buy Metrics Abstract We quantified longitudinal changes in CD4 T-cell count, viral load suppression and combined antiretroviral therapy adherence from childhood to adolescence among patients living with HIV in urban Peru. Mean CD4 count and viral load suppression decreased dramatically in early adolescence (13 years of age) in tandem with increases in nonadherence. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.