<![CDATA[Introduction: Currently hypertension is a major health problem in the world, including in Indonesia. The prevalence of hypertension in various regions in Indonesia varies. several factors are thought to play a role in this variation including the health system, hypertension risk factors and the prevalence of diabetes mellitus. This study aims to analyze the relationship between the health system (health services, health personnel, finance), hypertension risk factors (smoking and physical activity) and the prevalence of diabetes mellitus with differences in the prevalence of hypertension in various provinces in Indonesia. Currently hypertension is a major health problem in the world, including in Indonesia. The prevalence of hypertension in various regions in Indonesia varies. several factors are thought to play a role in this variation including the health system, hypertension risk factors and the prevalence of diabetes mellitus. This study aims to analyze the relationship between the health system (health services, health personnel, finance), hypertension risk factors (smoking and physical activity) and the prevalence of diabetes mellitus with differences in the prevalence of hypertension in various provinces in Indonesia.Methods: This study used an observational analytic design with an ecological study approach. Data was obtained from 440 districts and 33 provinces in Indonesia. which is taken on a probability basis to size. Samples are men and women aged 18 and above. The independent variable is the prevalence of hypertension while the dependent variable is the health system (health services, health personnel, finance), hypertension risk factors (smoking and sedentary physical activity) and the prevalence of diabetes mellitus. The diagnosis of hypertension is made by a doctor. The data obtained were analyzed using multiple linear regression analysis.Results: Smoking (b = 0, 0.463; 95% CI = 0.042-0.884; p = 0.032), and sedentary physical activity of more than 6 hours (b = 0.196; 95% CI = 0.030-0.3362; p = 0.022) increased the prevalence of hypertension. R2 from the multiple liner regression model is = 27.1%, and overall the models differ significantly (p = 0.05).Conclusion: Smoking and sedentary physical activity are associated with the prevalence of hypertension ]]>
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