Background: Hypertension is one of the most common non-communicable diseases worldwide and a leading modifiable risk factor for cardiovascular disease, stroke, chronic kidney disease, and premature mortality. Primary care settings play a pivotal role in early detection, risk assessment, and long-term management of hypertension. Identification of associated risk factors facilitates timely preventive interventions and improves cardiovascular outcomes.Objective: To evaluate the prevalence of hypertension and identify demographic, lifestyle, anthropometric, and metabolic risk factors associated with hypertension among adults attending primary healthcare centers.Materials and Methods: A retrospective observational study was conducted on 400 adult patients attending primary care clinics over five years. Demographic characteristics, blood pressure measurements, body mass index (BMI), waist circumference, smoking status, alcohol consumption, physical activity, dietary habits, family history, laboratory findings, and associated comorbidities were analyzed. Multivariate logistic regression identified independent predictors of hypertension.Results: The mean age of participants was 51.2 ± 13.8 years, with males accounting for 53.8% of the study population. Hypertension was diagnosed in 168 (42.0%) participants. Independent risk factors included age >50 years (OR 2.9), obesity (OR 2.6), central obesity (OR 2.4), diabetes mellitus (OR 2.3), family history of hypertension (OR 2.2), high dietary salt intake (OR 1.9), physical inactivity (OR 1.8), and current smoking (OR 1.7). Patients with hypertension demonstrated significantly higher prevalence of dyslipidemia, chronic kidney disease, and cardiovascular disease.Conclusion: Hypertension is highly prevalent among adults attending primary care facilities. Age, obesity, diabetes, family history, unhealthy lifestyle, and high salt intake are major modifiable risk factors. Early screening, lifestyle modification, and effective primary care interventions remain essential for reducing cardiovascular morbidity and mortality