The objective of this study was to investigate the relationship between prolonged exposure to occupational noise and the 10-year incidence of hypertension by taking these important factors into account. The present study showed that occupational exposure to noise levels of ≥85 dBA was associated with the development of hypertension and that there was a dose- response relationship between noise exposure and the 10- year incidence of hypertension. The association between occupational noise exposure of ≥85 dBA and the risk of hypertension might be due to the increases of SBP and DBP observed in the present study. The currently regulated threshold for occupational noise exposure may prevent the adverse health effects from noise-induced hearing loss to the development of hypertension.