<![CDATA[Background: Hypertension remains a major global health problem, particularly in low- and middle-income countries. West Java Province has a higher hypertension prevalence than the national average and a low rate of blood pressure control. Because socioeconomic and healthcare conditions vary across districts/cities, an ecological approach is needed to assess area-level social determinants of health associated with hypertension. This study analyzed the correlation between SDoH and hypertension prevalence at the district/city level in West Java.Methods: This ecological study used aggregated secondary data from 27 districts/cities in West Java. The exposure variables included SDoH, namely proportion of the elderly population, sex ratio, Human Development Index (HDI), average years of schooling (AYS), poverty rate, and health insurance coverage. The outcome variable was hypertension prevalence. Associations were assessed using Spearman’s correlation.Result: There was a positive correlation between HDI (r = 0,609; 95% CI = 0,329 – 0,791; p = 0,001) and AYS (r = 0,475; 95% CI = 0,162 – 0,701; p = 0,012) with the prevalence of hypertension. Conversely, the poverty rate showed a negative correlation with hypertension prevalence (r = −0,473; 95% CI = −0,803 – −0,024; p = 0,013).Conclusion: At the district/city level, areas with higher HDI and AYS were associated with higher hypertension prevalence, while areas with higher poverty rates were associated with lower prevalence in West Java. These findings suggest that hypertension control strategies should be tailored to regional characteristics, including strengthening lifestyle modification promotion, improving access to healthcare services, and active screening.]]>
