Geronimus, Arline TBound, JohnKeene, DanyaHicken, MargaretHypertension screening of Blacks should begin at young ages. Early diagnosis and vigilant management are critical to addressing racial and sex differences and their effect on cardiovascular disease, life expectancy, and maternal and infant health. Psychosocial stressors merit consideration as candidates for primary prevention. Addressing fundamental causes is needed. Understanding the growing age-gradient increase among US Black women is pressing.HypertensionstudiesLife-CourseObesityPovertyRacial DisparitiesStressWeatheringWomen’s HealthArticle