Hypertension is a major global health challenge, significantly contributing to morbidity and mortality. This study investigates the prevalence and associated risk factors of hypertension among young adults aged 18 – 45 years in Karongi District, Rwanda, to inform effective prevention and management strategies. Hypertension prevalence serves as a critical measure of community health, with further epidemiological data needed to address treatment gaps, elevated prevalence rates, and suboptimal blood pressure control. The study also aims to promote routine blood pressure monitoring and highlight the efficacy of lifestyle interventions, including reduced salt intake, regular physical activity, weight loss, alcohol moderation, and smoking cessation, in managing hypertension. A cross-sectional analytical design was employed, utilizing patient questionnaires and observation checklists at Rubengera Health Center. Data analysis was conducted using STATA version 15, with logistic regression identifying factors influencing hypertension. The study found an overall hypertension prevalence of 30.3%, with 9.09% representing newly diagnosed cases, consistent with trends in African populations. Significant sociodemographic factors included older age, lower education levels, urban residence, and marital status, with higher prevalence among married and widowed individuals. Key lifestyle contributors were high saturated fat intake, low physical activity, and excessive salt consumption, while regular exercise and a balanced diet were protective factors. The study concludes that hypertension is a prevalent health issue among young adults in Karongi District, driven by both sociodemographic and lifestyle factors. It underscores the need for data-driven strategies for hypertension management and control, providing essential insights for health planners in estimating disease burden and designing targeted interventions. Recommendations include public awareness campaigns, early detection initiatives, and policy measures addressing unhealthy dietary habits and physical inactivity. Further research is encouraged to examine the impact of occupation, gender, marital transitions, and intervention efficacy in reducing hypertension prevalence. These efforts aim to mitigate the burden of hypertension in Rwanda, contributing to improved health outcomes and population well-being. Keywords: Hypertension, Prevalence, Risk factors, Lifestyle interventions, Sociodemographic factors, Management strategies
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