Abstract : Hypertension is the main cause of death in the world, including Indonesia. WHO data says: there are 1.28 billion people with hypertension The 2018 Riskesdas report stated that the prevalence percentage in Indonesia was 29.19%. Many factors cause hypertension, including modifiable factors such as obesity, physical activity and smoking, while non-modifiable factors such as age, gender and family history. The purpose of this study was to analyze the risk factors for hypertension in the Biru-Biru District, Deli Serdang Regency. This research is analytic with cross sectional study. The number of research samples was 369 people who were taken using the Simple Random Sampling method. The data collected is primary data from interviews and questionnaires. Univariate and bivariate analysis using Chi Square. Multivariate analysis using logistic regression test. The results showed that the proportion of hypertension in Biru-Biru District was 35.2%. Bivariate analysis showed that the variables that had a significant relationship with the incidence of hypertension were age (p= 0.000), family history (p= 0.022) and Body Mass Index or BMI (p = 0.000). The results of multivariate analysis obtained Body Mass Index or BMI with p < 0.05, OR = 3,438 (95% CI 2.132 – 5.544). The community and the government, in this case the health department, are deemed necessary to improve education, promotion and counseling in order to increase public awareness and awareness of hypertension. The results of multivariate analysis obtained Body Mass Index or BMI with p < 0.05, OR = 3,438 (95% CI 2.132 – 5.544). The community and the government, in this case the health department, are deemed necessary to improve education, promotion and counseling in order to increase public awareness and awareness of hypertension. The results of multivariate analysis obtained Body Mass Index or BMI with p < 0.05, OR = 3,438 (95% CI 2.132 – 5.544). The community and the government, in this case the health department, are deemed necessary to improve education, promotion and counseling in order to increase public awareness and awareness of hypertension.