The proposed effect of road traffic noise on hypertension and ischemic heart disease finds mixed empirical support. One problem with many studies is that the directions of the causal relationships are not identified. This is often the case when cross-sectional data and multivariate regression models are utilised. The aim of the study was to explore the relationship between road traffic noise and health. More specifically the relationships between noise complaints, noise sensitivity and subjectively reported hypertension and heart problems were investigated. 1842 respondents in Oslo, Norway were interviewed about their experience of the local environment and their subjective health complaints. The interviews were conducted as part of two surveys. Individual measures of air pollution (NO(2)) and noise (Lden) were calculated. The data were analysed using Structural Equation Models. Only sensitivity to noise is related to hypertension and chest pain. No relationships between noise exposure and health complaints were identified. Rather than noise being the causal agent leading to health problems, the results suggest that the noise-health relationships in these studies may be spurious. It is conceivable that individual vulnerability is reflected both in ill health and in being sensitive to noise. The benefit of including more contextual variables in a model of noise-health relationships is supported.