The goal of this work is to evaluate noise levels in local neighborhoods of Kaunas city, to assess individual exposure and to investigate the connection between Kaunas city traffic noise and arterial hypertension for working age women. To determine the noise level in the city of Kaunas, in 2012 there was made the noise measurement survey and analysis, also for the investigation was used data from strategic noise map of Kaunas City, as well there was made a data analysis to compare changes in noise level results in 2006 and 2012 years. Noise levels in Kaunas city neighborhoods ranged from 55.9 dBA to 73.8 dBA. The quietest place - Panemune, where the average noise level of only 61.6 dBA. Most exposed residential neighborhood - Eiguliai where the noise level to 70.8 dB. In Dainava district there was recorded the same noise level as measured in 2006 in strategic noise map - 70 dBA. Correlation between the measured and modeled traffic noise levels in Kaunas in 2006 year is - 0.5159. Noise pollution modeling error (dBA) was 4,2. To establish the connection between the place of residence, traffic noise and hypertension prevalence was used an epidemiological case - control study which includes the entire territory of the city. The study includes 3,189 women between the ages ranged from 18 to 45 years, case group consisted of 433 women, whose blood pressure was 140/90 mm/Hg or higher, while the remaining 2,756 women - the control group with hypertensive disease have been identified. This study includes women who lived at the current residence for five years or more. To detect the amount of harmful factor (noise exposure) was used noise measurements data of 2007-2008 year of Kaunas City Municipality. To gather information on potential risk factors for arterial hypertension was using standardized questionnaire (socio-demographic factors, behavioral factors, health status). Analysis results showed that arterial hypertension (blood pressure ≥ 140/90 mm / Hg), was found for 13.6% of the analyzed women. Odds ratio of hypertension risk, for the working-age women tended to increase gradually with increasing levels of traffic noise categories. For women living in II noise level category (56-65 dBA), risk for hypertension is 14% higher (OD 1.14, 95% CI 0.81 to 1.49) than for those who were living in I noise level category (≤ 55 dB). For women who were regularly exposed to higher than 66 dBA (noise level category III) the possibility increases - it is 18% higher (OD 1.18, 95% CI 0.88 to 1.52) than for I noise level category women.