Aim To investigate the prevalence and risk factors of hypertension among unban residents,and to provide the scientific evidence for the intervention measurements. Methods The residents,more than 35-year-old,were selected based on a cluster sampling design. Questionnaire survey and medical examination were used. The data were delivered by Epidata 3.1 and analyzed by SPSS 13.0. Results In all the residents studied,the incidence of hypertension was 46.5%. The incidence between male（51.9%） and female（41.3%） had a significant difference （P<0.0001）,and the prevalence of hypertension increased with age. The rates of hypertension awareness and control of this community were 70.2%and 23.8%. Compared with those with normal body mass index （BMI）,the prevalence of hypertension in patients with overweight and obesity were significantly increased. The prevalence of hypertension in patients with impaired fasting glucose and diabetes mellitus were significantly higher than those with normal glucose tolerance（51.5%vs 36.1%,59.0%vs 36.1%,respectively,P<0.0001）. Stepwise Logistic regression revealed that age，male，drinking,overweight/obesity，glycometabolism abnormality and high triglycerides level were independent risk factors of hypertension （P<005）. Conclusion The incidence of hypertension in Hangzhou district in Zhejiang province is relatively high. The distribution and relevant risk factors have its local characteristics. Thus,the hypertension control and comprehensive preventive measures should be implemented.