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.