 The results of our study suggest that nearly half of PLHIV aged 13 to 25 years in Ruensuri region, western Uganda have high blood pressure, HBP, including hypertension, HTN. This is a significant finding given that HBP is a predictor of cardiovascular events and is an emerging challenge in young persons. Furthermore, one-quarter of these individuals had stage 1 or 2 HTN, indicating a greater risk of developing cardiovascular complications. Our findings also show that older age, elevated resting heart rate, and ever-smoking are associated with HBP, all of which are known traditional risk factors for HBP in HIV negative persons. Therefore, it is important to integrate HBP HIV management into routine care for PLHIV to reduce their risk of developing cardiovascular diseases. This article was authored by Richard Migisha, Alex Riolexis-Orio, Daniel Kadobera, and others.