This paper examines the relationship between age, loud music exposure, and hearing health among live-musicians and audio engineers in Osun State, Nigeria. Using a mixed-methods approach, the research combined audiometric assessments of 28 participants with surveys and interviews from a larger cohort (N=100) to evaluate occupational hearing health. Findings revealed higher hearing thresholds among music professionals compared to controls. Specifically, live-musicians averaged 21.43 dB HL in the right ear versus 16.14 dB HL in the control group. While hearing impairment ranging from slight to moderately severe was more prevalent among the exposed group, statistical analysis showed that age and exposure patterns did not have significant independent associations with hearing outcomes (p > 0.05). Qualitative data indicated that while older participants demonstrate greater health consciousness, cultural norms and occupational demands sustain high exposure levels across age groups. The findings suggest that occupational exposure may contribute to early auditory changes, although independent statistical effects of age and exposure were not established. It recommends the development of culturally responsive hearing conservation strategies and regular screenings to protect those in the Nigerian music industry.