Abstract : Ischemic heart disease and stroke were the leading causes of global death in 2021, [1] accounting for 20.5 million deaths, particularly in the 30-79 age group. Hypertension, a risk factor, is influenced by lifestyle factors such as obesity, stress, and smoking [2]. This study identifies risk factors for hypertension among productive-age individuals in Tumpaan, South Minahasa, to develop effective prevention strategies. Using an observational analytical design and a cross-sectional approach, the study was conducted from April to August 2023, involving 163 respondents aged 15-64 years. Data were analyzed using SPSS with the Chi-Square method. The results showed that 55.8% of respondents had hypertension, and 53.4% had a family history of hypertension. The majority of respondents did not consume alcohol (95.1%) and did not smoke (86.5%), while 76.7% were overweight. Bivariate analysis showed a significant association between family history and smoking habits with hypertension (p < 0.005). Evidence-based recommendations focus on early detection of high-risk individuals, strengthening health promotion and family education in the management of hypertension risk factors.