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Global Study Finds 1.7 Billion Adults Have Hypertension as Control Lags in Poorer Countries

Experts urge health systems to focus on long-term control with simple, affordable care.

Overview

  • The JACC analysis, published Thursday, estimates about one third of adults, or 1.7 billion people, had hypertension in 2020.
  • Fewer than 20% had their blood pressure under control in 2020, with control at 40.2% in high-income countries versus 13.6% in low- and middle-income countries.
  • Nearly 90% of the growth since 2000 occurred in low- and middle-income countries, and the share of uncontrolled cases there rose from 70% to 83% by 2020.
  • Prevalence was highest in Latin America and the Caribbean and in sub-Saharan Africa, while the largest headcounts were in East Asia and the Pacific and in South Asia.
  • South African data show gaps in care, with a 2023 Johannesburg study finding 57% of clinic patients still uncontrolled, spurring calls for fixed-dose pills, reliable medicines and tighter follow-up.