Trends of awareness, treatment, and control of hypertension in Peru: a 5-year national survey analysis

Hypertension remains a major public health challenge, particularly in low-resource settings. We analyzed trends in hypertension awareness, treatment, and control in Peru from 2019 to 2023 using nationally representative data from 167 204 individuals aged ≥15 years. Blood pressure was measured using validated automatic digital monitors (Omron HEM-7113) following a standardized protocol, ensuring accurate and comparable measurements across participants. The overall prevalence of hypertension was 20.8%, with a mean age of 41 years and 52% were female. Awareness increased from 49.2% in 2019 to 55.4% in 2023, despite a decline in 2021. Treatment rates ranged from 27% to 33.7%, while control declined from 28.3% in 2019 to 22.5% in 2021, subsequently improving to 33% by 2023. Although average annual percentage changes in awareness (+2.3%), treatment (+0.5%), and control (+4.5%) were positive, they did not reach statistical significance. Older individuals and women demonstrated higher rates, while regional disparities persisted, with greater improvements in the Andes region. In conclusion, despite some progress, significant gaps remain, underscoring the need for targeted and equitable interventions to optimize hypertension management in Peru.