Urinary schistosomiasis is a chronic neglected tropical disease (NTD), which is endemic in Nigeria, and is largely attributable to poverty. This study sought to determine the risk factors associated with urinary schistosomiasis and its spatial distribution in Safana, Dutsin-Ma, and Kurfi towns of Katsina State, Nigeria. Urine samples were collected from thirteen Tsangaya schools between 1st June and 30th September 2023, the participants’ samples and socio-demographic data were analyzed for the ova of Schistosoma haematobium and associated risk factors using the centrifugation technique and Chi-square tests, respectively. Out of the 514 samples examined, 35.6% were positive for the ova of S. haematobium. The predisposing risk factors for the infection included; contact with large water bodies (ꭓ = 0.2060, P=0.6500), and age group (ꭓ =50.6220, P=0.0000). Participants with haematuria recorded a higher prevalence (49.7%) than those with no haematuria (17.1%), and the infection was significantly associated with haematuria (ꭓ = 58.2460, P= 0.0000). The source of water, contact with water bodies, age group, and lack of a history of praziquantel treatment were identified as risk factors for the infection. To prevent continuous transmission of the disease, the study recommends improved environmental sanitation and regular mass deworming of Almajirai.