A population-based propensity-score matched cohort study design was used based on the Ontario population from the Canadian Community Health Survey (2001-2010). Participants were adults aged 20 years or older who moved from a low walkability neighborhood (defined as any neighborhood with a Walk Score<90) to either a high (Walk Score≥90) or another low walkability neighborhood. The incidence of hypertension was assessed by linking the cohort to administrative health databases using a validated algorithm. Propensity-score matched Cox proportional hazard models were used.