The association between occupational noise exposure and hypertension is unclear.We aimed to explore the association in a Chinese population and to summarize our findings with previous published articles.The cross-sectional study included 22450 participants from Dongfeng-tongji Cohort Study.In a subsample of 10636 subjects,we assessed the association between hearing loss and hypertension.For the meta-analysis,we searched Pubmed and Embase until April 2017,and the pooled odds ratio was combined by using a random-effect model.Compared with participants without occupational noise exposure,the risk of hypertension was significantly higher for noise exposure duration≥20(OR=1.09,95%CI=1.00-1.18).In the sex-specific analysis,the association was only significantly pronounced in males(OR=1.16,95%CI=1.03-1.31),but not in females(OR=1.01,95%CI=0.88-1.14).In the subsample analyses,hearing loss,which was an indicator for exposure to loud noise,was associated with a higher risk of hypertension,especially for participants who were bilateral hearing loss(OR=1.39,95%CI=1.24-1.54).In the meta-analysis,the pooled OR for the association between occupational noise exposure and hypertension was l.25(95%CI=1.10-1.42).On the basis of an indicator for exposure to occupational noise,the cross-sectional study and meta-analysis identified occupational noise exposure as a potential risk factor for increased hypertension risk.