To provide evidence-based support for optimizing hypertension control strategies in China，this study systematically reviewed 137 studies on influencing factors of hypertension control between 2014 and 2024 in databases including CNKI，PubMed and Web of Science. This study used document analysis to identify the influencing factors of hypertension control，applied the Pareto principle to screen for key factors，and classified them based on social determinants of health. Results indicated that 64 influencing factors were identified，of which the top 20 accounted for a cumulative 79.69% and were categorized as key factors. These were categorized into three dimensions: biological and genetic factors（35.97%），individual lifestyle factors（43.87%）， and social factors （20.16%）. The results suggest that optimizing the prevention and control of hypertension should be grounded in health social determinants and employ a stratified intervention strategy. This includes targeting individual lifestyle modifications at the behavioral level，managing risks associated with biological and genetic factors at the physiological level，and enhancing the social support environment at the structural level. These efforts aim to systematically improve the efficacy of hypertension prevention and control.