A Qualitative Exploration of the Theory of Triadic Influence in a Nigerian Setting: The Case of Cigarette Smoking

The theory of triadic influence (TTI) was employed as a framework to explore the risk influences for cigarette smoking among an inclusive sample of young smokers. This qualitative study involved a purposive sample of 18 young smokers aged 18–24 years. Data were collected using individual interviews and analysed using thematic analysis. Following the TTI, factors found to influence young people’s initiation and perpetuation of smoking included at the intrapersonal level, sensation seeking, hedonic attitudes and poor coping skills; young smokers engage in cigarettes smoking to cope with social and psychological challenges like stress, worries, to aid digestion and for relaxation. At the interpersonal level, smokers were influenced by their peers and significant others like parents, brothers, teachers and mentors. Immediate risk influences for smoking included experimentation with cigarettes and the use of other substances like marijuana and alcohol. Intervention programmes targeted at building life skills and the ability to resist the pressure from peers and significant others to smoke are needed.