Prevalence of Hypertension and Associated Risk Factors Among Adults in Ilorin Metropolis, Kwara State, North Central Nigeria

Non-communicable diseases, particularly hypertension, are rapidly increasing in Nigerian urban centres, creating a dual disease burden alongside persisting infectious diseases. This study determines the prevalence of hypertension and identifies associated risk factors among adults aged 30 and above in Ilorin Metropolis, Kwara State. A cross-sectional design is used, with 360 adults recruited from community health centres and selected market areas through systematic sampling. Blood pressure measurements are taken twice using a validated digital sphygmomanometer following standard protocol, alongside the administration of a structured questionnaire capturing dietary habits, physical activity levels, family history, alcohol use, and occupational stress. Data are analysed using SPSS, with logistic regression determining independent predictors of hypertension. Evidence from the 2022 Nigerian Heart Foundation report indicates a hypertension prevalence of approximately 38 percent among urban adults, with dietary sodium excess, sedentary behaviour, and obesity identified as principal risk factors. The study is guided by the Social Ecological Model, which recognises individual, community, and systemic influences on chronic disease risk. Findings will support local health authorities in developing targeted screening programmes, lifestyle modification initiatives, and community-based hypertension management platforms. The study contributes to the broader national effort to reduce premature mortality from cardiovascular disease. Keywords: hypertension, prevalence, risk factors, adults, Ilorin Metropolis.