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Introduction: Back pain is common health problems among general populations including students. Students are exposed to physically and emotionally high demanding daily activities, therefore, higher the risk to develop back musculoskeletal disorders. Objective: To estimate the 12-month prevalence of self-reported musculoskeletal symptoms in the back area and the associated risk factors. Methods: A self-administered questionnaire survey was carried out on 390 students. The Standardized Nordic Musculoskeletal Questionnaire (SNMQ) was used to identify the annual prevalence of WRMSDs. Perceived emotional distress was assessed using the short version of Depression, Anxiety and Stress (DASS21). In addition, socio-demographic and educational profiles of the participants were also included. Factors associated with back MSDs were identified using chi square analyses and further by logistic regression. Results: A total of 348 students (89.23%) completing the survey. 63.79% of the students self-reported having symptoms of MSD at any part of back for the past 12 months. Of these, lower back (83.56%) were the most frequently reported as compared to the upper back (81.98%). The multivariate analyses showed anxious or stressful students had significantly elevated risk of back pain Conclusion: The findings indicated that MSDs is relatively high among students. However, students in good term of emotional health had reduced the risk of back MSD. Thus, it is recommended that emotional wellbeing program shall be introduced to the student in future.