Salud Publica de Mexico · Nov 22, 2025
Hypertension in adults and gaps in care at the national and state levels, Ensanut 2021-2024
By Campos-Nonato I, Monterrubio-Flores E, Ramírez-Villalobos D et al.
OBJECTIVE: To describe the prevalence of adults with diagnosed, treated, and controlled hypertension, nationally and by state, as well as to estimate the number of people who could develop ECV because of hypertension. MATERIALS AND METHODS: Data from 34 954 participants in the National Health and Nutrition Survey 2021-2024 were analyzed. Hypertension prevalence was estimated at the national and state levels. Using the Globorisk and OMS risk scales, the number of people who could develop ECV because of hypertension was estimated. RESULTS: Nationally, the prevalence of hypertension in adults was 29.1%. Of adults with hypertension, 62.9% had already been diagnosed, and of those receiving pharmacological treatment, 60.1% had blood pressure (PA) under control. The lowest prevalence of hypertension was observed in Colima (20.7%) and the highest in Sonora (40.6%). In the next 10 years, 1 119 060 ECV events could be prevented if PA in adults were normalized. CONCLUSIONS: Hypertension is a public health problem in Mexico, and the performance of the health system in controlling PA in adults is poorer in the Northern states. Prompt and concerted population-level strategies are needed to reduce the burden of hypertension in Mexico.