Prevalence, types of injuries sustained and factors associated with boda-boda accidents in Gulu city

dc.contributor.authorBanya Anthony
dc.date.accessioned2026-11-02T07:27:33Z
dc.date.available2026-11-02T07:27:33Z
dc.date.issued2026-10-27
dc.description.abstractIntroduction: Motorcycle related injuries are a significant global public health problem, particularly in developing countries. Despite their widespread use in urban areas of Uganda, there is limited information on motorcycle safety, accident prevalence and factors associated with boda-boda accidents. This study aimed to identify the burden of boda-boda accidents and factors that can be modified to prevent accidents in Gulu City. Methodology: A cross-sectional study design was used in this study, with structured questionnaires administered to collect data from 422 study participants. The participants were enrolled using a systematic sampling technique to participate in the study. Primary outcome variable was a self-reported involvement in boda-boda accident in the past. Bivariate and multivariate modified Poisson regression analyses were performed using Stata version 16, factors with p-vale < 0.2 transferred for multivariable analysis. Lifetime history of accident at 95% confidence interval with P < 0.05 was considered statistically significant. Results: We found life time prevalence of boda-boda accident in Gulu City was 60.4%; Accident in the past 1 year was at 23.9%. At multivariable analysis, younger and active age group 20-29, 30-39 (aPR=1.68; p=0.002) and (aPR=2.19; p=0.000) respectively), carrying more than one passenger (aPR =1.77; p=0.001), high speed aPR=0.58; P< 0.001 and higher alcohol AUDIT scores (aPR =1.29; P=0.002) were significantly associated with increased risk of boda-boda accident. Bruises (64%) cut wounds (25%) and fractured bone (11%) were the types of injuries sustained following boda-boda accident. The accidents involved the upper limb (38.2%), lower limb (29.3%), head (26.9%), chest (4.7%) and abdomen (0.4 %). Conclusion: both the life time and the recent accident’s prevalence by boda-boda cyclists (60.4% and 23.9% respectively) were high. At multivariable analyses, socio-economically active, younger ages, high speed, carrying more than one passenger and higher alcohol AUDIT scores were significantly associated with boda-boda accident. Recommendations: A regular road safety training program especially to the socio-economically active and younger cyclists; police authority be strengthened to enforce road traffic policies that inhibit high speed, alcohol use or carrying more passengers while cycling; the city authority to improve on road infrastructure, helmet rider jacket use be encouraged and further research be conducted to minimize boda-boda accidents.
dc.description.sponsorshipSelf
dc.identifier.urihttp://hdl.handle.net/20.500.14270/1100
dc.language.isoen
dc.publisherGulu University
dc.subjectboda-boda
dc.subjectroadTraffic accidents
dc.subjectmotorcycle
dc.titlePrevalence, types of injuries sustained and factors associated with boda-boda accidents in Gulu city
dc.typeThesis

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