Results. The occurrence of hearing impairment was 11 per 10 000, decreasing from 60 per 10 000 for birth weights <1500 g to 6 per 10 000 for birth weights >4499g. Compared with birth weights between 3000 g and 3499 g, the adjusted rate ratio of hearing impairment was 7.55 (95% confidence interval: 4.81-11.87) for birth weights <1500 g and 0.50 (95% confidence interval: 0.34 -0.73) for birth weights >4499 g. The association did not change substantially with adjustment for other pregnancy-related conditions. Restricting the analyses to term born, the association between hearing impairment and low birth weight became stronger.Conclusions. Birth weight was a strong predictor of hearing impairment in the Norwegian population. Children who were born at term with a low birth weight seemed to be a particularly vulnerable group. Pediatrics 2002;110(3). URL: http://www.pediatrics.org/cgi/content/ full/110/3/e30; hearing impairment, birth weight, epidemiology.