Objectives - To describe the prevalence and management of hypertension in Guadeloupe, based on two recent studies. Methods - Consant is a cross-sectional study of a random sample of the Guadeloupean population. A total of 1,005 individuals (54% women) aged 25 to 74 were included. Blood pressure (BP) was measured during a home visit. Hypertension is defined as the presence of antihypertensive treatment or a BP >= 140/90 mm Hg (systolic BP >= 140 mmHg and/or diastolic BP >= 90 mmHg). PHAPPG is a cross-sectional study that consecutively enrolled 2,420 individuals aged 18 to 69 years (55% women) in precarious living conditions who underwent health screenings at the two health examination centers in Guadeloupe. Results - In the Consant study, the prevalence of hypertension is estimated at 33.1% among men and 37.3% among women based on a single visit, and at 22% and 31%, respectively, based on two visits. Among those with hypertension (visit V1), 90.6% of women and 82.4% of men were receiving antihypertensive treatment. Among treated hypertensive patients, 47.1% of men and 60.4% of women had their blood pressure adequately controlled (BP <140/90 mm Hg). In the PHAPPG study (vulnerable population), the prevalence of hypertension based on two visits was 24.7% among men and 22.1% among women. Hypertension was known in 40.2% of men and 67.6% of women. Among those who reported having hypertension, 91.3% of women and 81.8% of men were taking antihypertensive medication. Blood pressure was controlled (<140/90 mmHg) while on treatment in 19% of men and 37.5% of women. The factor most strongly associated with hypertension was body mass index. Conclusions - Facilitating access to primary care and reducing financial barriers are prerequisites for the screening and management of hypertension, but disparities persist according to socioeconomic status. Indeed, the percentage of patients whose BP is “normalized” under treatment is significantly lower in the “vulnerable” population compared to the working population in the Antilles and mainland France, despite screening and treatment initiation that differ little by socioeconomic status. In terms of prevention, any policy aimed at reducing the prevalence of hypertension should include nutritional interventions, given the major role of obesity in the Guadeloupean population. (R.A.)