French Guiana is the French overseas department where the human immunodeficiency virus (HIV) epidemic is most preoccupying. There are 38 new acquired immunodeficiency syndrome cases per 100000 inhabitants per year and >1% of HIV-positive pregnant women. Approximately two thirds of the HIV patients are foreign citizens mostly from Haiti. The use of highly active antiretroviral therapy has led to remarkable gains in patient survival. However HIV and the metabolic complications of highly active antiretroviral therapy seem to increase the risk of cardiovascular diseases notably high blood pressure. To further improve survival it is important to better understand these pathologies. The objective of the present study is to determine the risk factors for high blood pressure among patients followed in the hospital cohort of patients followed in the 3 hospitals of French Guiana. (authors)