Determinants of hypertension among women with Type 2 Diabetes attending urban primary healthcare centers in inezgane and agadir, southern morocco: A cross-sectional study

• High prevalence (69.2 %) of hypertension observed among women with Type 2 diabetes attending urban primary healthcare centers in south Morocco. • Dyslipidemia significantly associated with hypertension (AOR = 10.36; 95 % CI: 3.50–30.70). • Physical inactivity and obesity increase the risk of hypertension among diabetic women. • Health insurance disparities impact hypertension prevalence in Moroccan women. Type 2 diabetes mellitus (T2DM) and hypertension are common comorbidities that significantly contribute to the global burden of cardiovascular disease, particularly in low- and middle-income countries. Although T2DM and hypertension are prevalent in Morocco, there is limited research exploring their coexistence and associated factors specifically among women. This cross-sectional study aimed to determine the prevalence of hypertension and its associated factors among women with T2DM in Inezgane and Agadir, located in southern Morocco. Women aged 18 years or older were recruited from five urban primary healthcare facilities in 2024. Data were collected through interviewer-administered questionnaires and clinical records, focusing on socio-demographic characteristics, lifestyle factors, clinical variables, and anthropometric measurements. The prevalence of hypertension was determined and multivariate logistic regression was used to estimate adjusted odds ratio (AOR) and 95 % confidence intervals (CI) for the association between various risk factors and hypertension prevalence. A total of 260 diabetic women was recruited. The overall prevalence of hypertension was 69.2 % among the participants. Multivariate logistic regression analysis identified significant associations between hypertension and several factors: dyslipidemia ([AOR] = 10.36; 95 % Confidence Interval [CI]: 3.50–30.70), type of health insurance—specifically AMO Tadamon (AOR = 3.41; 95 % CI: 1.63–7.10), physical inactivity (AOR = 2.21; 95 % CI: 1.08–4.54), being overweight (AOR = 2.48; 95 % CI: 1.22–5.04), and obesity (AOR = 3.15; 95 % CI: 1.33–7.47). The strong associations observed between hypertension and modifiable factors such as dyslipidemia, physical inactivity, and obesity underscore the urgent need for targeted interventions to improve cardiovascular health among women with T2DM attending urban primary healthcare centers in south Morocco. Further studies are needed to confirm these findings in rural and other regional contexts.