An Empirical Study of the Prevalence and Risk Factors of Water-Related Injuries among In-School Adolescents in Ijebu North Local Government Area, Ogun State Nigeria
DOI:
https://doi.org/10.61424/ijmhr.v4i3.1041Keywords:
Adolescents, Nigeria, Prevalence, Public Health, Risk factors, School health, Water-related injuriesAbstract
Water-related injuries constitute an emerging public health concern among adolescents in low- and middle-income countries, particularly in sub-Saharan Africa where unsafe water environments, flooding, poor supervision, and inadequate water safety education increase vulnerability. Adolescents are frequently exposed to rivers, streams, wells, drainage channels, and flooded environments during domestic, recreational, and school-related activities. Despite the growing burden of water-related injuries in Nigeria, evidence from school-based studies remains limited. This study investigated the prevalence and associated risk factors of water-related injuries among in-school adolescents in Ijebu North Local Government Area (INLG), Ogun State, Nigeria. A descriptive cross-sectional study was conducted among 500 in-school adolescents aged 10–19 years selected through multistage cluster sampling from three public secondary schools in Ijebu North Local Government Area. Data were collected using a structured self-administered questionnaire covering socio-demographic characteristics, prevalence and patterns of water-related injuries, environmental and behavioral risk factors, and safety practices. Data were analyzed using SPSS version 25. Descriptive statistics were summarized using frequencies, percentages, means, and standard deviations. Chi-square tests and binary logistic regression were used to determine associations between variables at p<0.05. The 3-month prevalence of water-related injuries among respondents was 64.8%. Common injuries reported included slips and falls near water sources (42.0%), cuts and lacerations sustained during water-related activities (35.2%), near-drowning incidents (18.4%), burns from hot water (14.8%), and water transport-related injuries (9.6%). Male adolescents reported a higher prevalence of water-related injuries (68.5%) than females (60.6%). Significant predictors of water-related injuries included exposure to flooded environments (AOR=3.214; 95% CI:1.761–5.864), lack of swimming skills (AOR=2.847; 95% CI:1.534–5.283), inadequate parental supervision near water bodies (AOR=2.692; 95% CI:1.421–5.098), unsafe recreational practices around rivers and streams (AOR=3.981; 95% CI:2.036–7.783), and poor knowledge of water safety measures (AOR=2.174; 95% CI:1.142–4.138). Water-related injuries are highly prevalent among in-school adolescents in Ijebu North Local Government Area. Environmental exposure, unsafe behaviours, poor supervision, and inadequate safety knowledge significantly contribute to injury occurrence. Strengthening school-based water safety education, environmental protection policies, parental supervision, and adolescent injury prevention interventions is essential to reducing the burden of water-related injuries among adolescents.
References
Adegbite, A. A., Sikiru, S., & Okanlawon, P. O. (2015). Assessment of water provision and associated risks among children in Abeokuta peri-urban, Ogun State, Southwestern Nigeria: The gender implications. Wh2O: The Journal of Gender and Water, 4(1), 73–80.
Alnaimi, I. A., Yamani, I. A. J., & Alkhatib, A. J. (2026). Children, Water Insecurity, and Environmental Stress: Educational, Social, and Health Implications. International Journal of Aquatic Research and Environmental Studies, 6(S1), 762-771.
Al-Worafi, Y. M. (2024). Injuries: causes in developing countries. In Handbook of Medical and Health Sciences in Developing Countries: Education, Practice, and Research (pp. 1-20). Cham: Springer International Publishing.
AnilKumar, A., & Amit Kumar, P. (2025). The Impact of Heavy Backpacks on Musculoskeletal Pain in School Going Children: A Scoping Review. Journal of Chemical Health Risks, 15(6), 2356.
Archana, C. M., Kanakalakshmi, A., Nithya, K., Kaarunya, E., & Renugadevi, K. (2025). Health effects of emerging contaminants: Effects on humans via ingestion of contaminated water. In Emerging contaminants in water (pp. 269-306). Cham: Springer Nature Switzerland.
Azubuike, S. O., & Onyemaka, E. O. (2012). Epidemiology of non-fatal injuries among adolescents in an urban Niger Delta community of Nigeria. International Journal of Critical Illness and Injury Science, 2(3), 180–185. https://doi.org/10.4103/2229-5151.100936
Chabib, L., Nurbillah, A., Lubis, A. A., Batubara, A. W., Purwanti, E., Armi, N., ... & Hamid, M. (2025). Assessment of stream quality and health risks in Indonesian river systems: A social analysis and water quality index approach. Case Studies in Chemical and Environmental Engineering, 11, 101200.
Geere, J. A. L., Cortobius, M., Geere, J. H., Hammer, C. C., & Hunter, P. R. (2018). Is water carriage associated with the water carrier’s health? A systematic review of quantitative and qualitative evidence. BMJ global health, 3(3), e000764.
Geere, J. A., Bartram, J., Bates, L., Danquah, L., Evans, B., Fisher, M. B., ... & Hunter, P. R. (2018). Carrying water may be a major contributor to disability from musculoskeletal disorders in low income countries: a cross-sectional survey in South Africa, Ghana and Vietnam. Journal of global health, 8(1), 010406.
Irene, J., Irene, B. N., & Daniels, C. (2025). Not a drop to drink: Addressing Nigeria’s deepening freshwater crisis. Water, 17(12), 1731.
Jagnoor, J., & Peden, M. (2021). Injuries as global health risk factor: causes, burden, and prevention. In Handbook of global health (pp. 823-854). Cham: Springer International Publishing.
Kanma-Okafor, O. J. (2026). Adolescent Health: A Global Perspective. In Maternal and Child Health, Vol. 3: Global Challenges, Programs, and Policies (pp. 197-228). New York, NY: Springer US.
Ködmön, Z. (2026). Mapping the Climate–Water–Health Nexus Across African Climatic Regions (2000–2020). Water, 18(7), 767.
Lee, J., Perera, D., Glickman, T., & Taing, L. (2020). Water-related disasters and their health impacts: A global review. Progress in Disaster Science, 8, 100123.
Logie, C. H., Hasham, A., Kagunda, J., Evelia, H., Pellatt, A., Gachoki, C., ... & Gittings, L. (2025). Young adolescent recommendations for advancing water, food, and sanitation security in Kenya: Qualitative insights. Preventive Medicine Reports, 103325.
MacAllister, D. J., Fallas, H., MacDonald, A. M., Kebede, S., Mkandawire, T., Mwathunga, E., Owor, M., & Whaley, L. (2021). Determinants of hand-pumped borehole functionality: Preliminary evidence from Ethiopia, Malawi and Uganda. Proceedings of the 42nd WEDC International Conference: Equitable and Sustainable WASH Services: Future Challenges in a Rapidly Changing World. Water, Engineering and Development Centre (WEDC), Loughborough University.
Matchawe, C., Bonny, P., Yandang, G., Mafo, H. C. Y., & Nsawir, B. J. (2022). Water shortages: Cause of water safety in sub-Saharan Africa. Drought-impacts and management.
Mckeever, A., & Hossain, S. (2021). 6B. 003 Underreporting of drowning in Nigeria: A retrospective survey of national newspaper reports. Injury Prevention, 27(Suppl 2), A51-A51.
Mensah, C. M. (2024). Children’s rights and the Sustainable Development Goals. In International children's rights: International and comparative children’s rights; Human rights–children’s rights (pp. 279–312). Central European Academic Publishing.
National Emergency Management Agency. (2024). Flood dashboard 2024. https://nema.gov.ng/flood-alert-2024/
O’Donnell, E. P., & Canares, T. L. (2021). Accidents waiting to happen: a review of unintentional household injuries in children. Pediatrics in review, 42(3), 109-122.
Olufemi, A. C., Mji, A., & Mukhola, M. S. (2022). Potential health risks of lead exposure from early life through later life: implications for public health education. International journal of environmental research and public health, 19(23), 16006.
Rhue, S. J., Torrico, G., Amuzie, C., Collins, S. M., Lemaitre, A., Workman, C. L., ... & Stoler, J. (2023). The effects of household water insecurity on child health and well‐being. Wiley Interdisciplinary Reviews: Water, 10(6), e1666.
Tallman, P. S., Collins, S., Salmon‐Mulanovich, G., Rusyidi, B., Kothadia, A., & Cole, S. (2023). Water insecurity and gender‐based violence: A global review of the evidence. Wiley Interdisciplinary Reviews: Water, 10(1), e1619.
Vanderwal, L., Rautiainen, R., Kuye, R., Peek-Asa, C., Cook, T., Ramirez, M., ... & Donham, K. (2011). Effectiveness, Safety, and Sustainability of a hand water pump among women vegetable farmers in the Gambia. Journal of sustainable agriculture, 35(4), 394-407.
Venkataramanan, V., Geere, J. A. L., Thomae, B., Stoler, J., Hunter, P. R., Young, S. L., & aa. (2020). In pursuit of ‘safe’water: the burden of personal injury from water fetching in 21 low-income and middle-income countries. BMJ global health, 5(10), e003328.
Victor, C., Kupoluyi, J. A., Oyinlola, F. F., & Sule, V. O. (2025). Prevalence and factors associated with water, sanitation and hygiene (WASH) facilities deprivation among children in Nigeria. BMC pediatrics, 25(1), 102.
World Health Organization. (2024). The adolescent health indicators recommended by the Global Action for Measurement of Adolescent Health: Guidance for monitoring adolescent health at country, regional and global levels. World Health Organization.
World Health Organization. (2026). Adolescent health. World Health Organization – Adolescent Health
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