In clinical practice, high blood pressure (BP) remains the leading modifiable risk factor for mortality in the United States, yet national prevalence estimates often rely on delayed, survey-based data. A serial cross-sectional analysis published in JAMA Network Open evaluated 1,270,485 adults aged 18 to 99 years who used Pursuant Health self-service kiosks at retail locations in 49 US states and the District of Columbia between November 2017 and September 2024. High BP was defined as either self-reported hypertension or a BP measurement with systolic BP ≥140 mm Hg or diastolic BP ≥90 mm Hg.

The prevalence of high BP was 50.0% in 2017–2018 and 47.6% in 2023–2024. Non-Hispanic Black adults consistently showed the highest rates (55.6% in 2023–2024), followed by non-Hispanic White (50.4%) and Hispanic adults (41.0%). Prevalence reached 71.9% among adults aged ≥65 years and remained higher in rural residents compared with urban counterparts. Self-reported hypertension increased slightly from 34.7% to 35.9% over the study period. Among those with self-reported hypertension, 28.1% in 2023–2024 still recorded elevated BP.