Background: Hypertension (HTN) is a key modifiable cardiovascular risk factor. The 2025 AHA/ACC blood pressure (BP) guidelines reaffirmed 140/90 mmHg and >130/80 mmHg. Sociodemographic and clinical covariates ( Table 1 ) were examined. Multivariate logistic regression assessed sociodemographic and clinical factors associated with uncontrolled BP over time. All analyses accounted for the complex sampling design using survey weights. Results: Among 9,771 adults with HTN (mean age 47.7 years; 51% female), 76% reported antihypertensive use. BP control was 57.8% at 140/90 mmHg] and 16.4% vs 11.1% >130/80 mmHg), and had lower educational attainment and income-to-poverty ratios, smaller waist circumference, and less self-reported hyperlipidemia compared with adults with controlled HTN (all p 140/90 mmHg cutoff, but the association was lost with >130/80 mmHg cutoff. A similar pattern was observed for the family income-to-poverty ratio, Table 2 . Conclusions: BP control remains suboptimal nationwide, particularly under the <130/80 mmHg target, underscoring a widening gap between evidence-based goals and real-world outcomes. Persistent racial and socioeconomic disparities highlight the need for tailored and equitable strategies to improve HTN control.
Szaszdi et al. (Tue,) studied this question.