Graduation Year




Degree Name

Doctor of Public Health (Dr.PH.)

Degree Granting Department

Community and Family Health

Major Professor

Oliver T. Massey, Ph.D.

Co-Major Professor

Julie Baldwin, Ph.D.

Committee Member

Patricia Emmanuel, M.D.

Committee Member

Julianne Serovich, Ph.D.

Committee Member

Dinorah Martinez Tyson, Ph.D.


adolescents, cessation, HIV/AIDS, tobacco


Smoking amongst youth living with HIV (YLWH) has major public health implications. When combined with the complications associated with smoking such as chronic obstructive pulmonary disorder (COPD) or heart disease, the impact of a HIV positive diagnosis increases morbidity exponentially (Nahvi & Cooperman, 2009). The purpose of this study is two-fold, to investigate the perceptions of smoking amongst YLWH aged 18-24 who receive care at the Pediatric Infectious Diseases (PedsID) Clinic located at the University of South Florida and to determine factors related to cessation.

The PedsID clinic is part of the Adolescent Trial Network (ATN). The ATN’s primary mission is to conduct research, both independently and in collaboration with existing research networks and individual investigators, in HIV-infected and HIV-at-risk pre-adolescents, adolescents, and young adults up to age 25 years. A study design utilizing two components, primary qualitative data and a systematic literature review was used in this dissertation. Twenty-five in depth interviews were conducted in order to determine themes related to smoking cessation and the factors associated with the experience of smoking. The systematic literature review was used to identify and evaluate specific components of existing programs that increase the likelihood of long term smoking cessation.