Beyond hearing impairment and tinnitus, chronic exposure to noise can be associated with reactions that may lead to adverse health effects. These include chronic annoyance responses, sleep disturbance, and general effects on well-being. Likewise, changes in blood pressure, heart rate, and circulating stress hormones are documented responses to noise exposure (Basner et al., 20144. Basner, M., Babisch, W., Davis, A., Brink, M., Clark, C., Janssen, S., and Stansfield, S. (2014).