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742 (95% CI 1.313-2.31. After applying PSM to minimize bias, we obtained a population of 500 cases and 1,000 controls. Noise level was significantly associated with the risk of hypertension. In addition, the RCS curve showed the risk of hypertension was relatively stable until a predicted noise level of around 80 dB(A) and then started to increase rapidly afterward ( = 0.002). Occupational noise exposure was significantly associated with hypertension risk and there was a positively correlated dose-response relationship. Occupational n