Noise is the subject of increasing attention for the French, especially in highly urbanized areas where its sources are multiple. In this context, this article aims to gain a better understanding of the how the specificities of the Ile-de-France region influence perceptions, attitudes and expectations of its inhabitants with respect to noise. The article is based on the regional use of results extracted from the national Environmental Health Barometer 2007 study by the INPES, the French National Institute for Prevention and Health Education. First and foremost, noise is perceived as a source of discomfort and inconvenience, in particular in Ile-de-France, while the related consequences of noise exposure for health were of secondary importance and not necessarily influenced by the degree of urbanization. The preoccupation with noise was much more important in the Ile-de-France region than in the rest of the country. Furthermore, a significant proportion of young people, particularly the Paris region, are exposed to high noise levels during their leisure time. These results are useful to better understand the expectations and needs of Parisians in terms of policies needed for information and education, prevention and reduction of noise.