Limitations:It's essential to acknowledge the limitations of the study. The cross-sectional design prevents establishing causal relationships, and the findings may not be generalizable to other populations. Additionally, self-reported data, including lifestyle behaviors, can be subject to recall bias.In conclusion, the study highlights the alarming prevalence of uncontrolled hypertension in the studied rural communities in central Thailand. The identified risk factors, including neck circumference, sedentary behavior, and missed doctor appointments, should be considered when developing targeted interventions to improve hypertension management in these regions. Further research and community-based initiatives are necessary to address this public health challenge and promote better cardiovascular health in these communities.