Exposure to loud and very loud sounds or noise is probably the major preventable cause of hearing impairment among adults in the United States. Significant noise exposure has also been associated with other health problems. We estimated the strength of associations between noise exposures and self-reported hearing loss and other health problems based on the 2014 National Health Interview Survey administered to a representative U.S. sample (n=36,639; aged 18 or more years). Occupational noise was ascertained for years of exposure to “very loud” or only “loud” noise. We quantified lifetime firearms noise exposure by the number of rounds fired. Use of hearing protection was also considered. We used multivariable logistic regression to calculate odds ratios (OR) and 95% confidence intervals (CI). The prevalence of “very loud” occupational noise exposure was 20.4% (men: 32.3%; women 9.4%), whereas for only “loud” noise was 3.9% (men: 5.2%; women: 2.3%). Controlling for chronic diseases (cardiovascular, hypertension, diabetes, asthma) and demographic/lifestyle variables, men with >=5 years exposure to very loud noise had OR=3.5 (95%CI: 2.8-4.2) for hearing loss compared to non-exposed men. Hearing impairment attributable to noise is potentially preventable. Interventions aimed at young and middle-aged adults could substantially reduce hearing loss for working-age adults.