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This cross\u2010sectional analysis included 165,524 participants who provided baseline information on hearing function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Functional auditory capacity was measured with a digit triplet test. Three categories were defined according to the speech reception threshold in noise (SRTn): normal (SRTn &lt;\u2009\u22125.5\u2009dB signal\u2010to\u2010noise ratio [SNR]), insufficient (SRTn \u2265\u2009\u22125.5 to \u2264\u2009\u22123.5\u2009dB SNR) and poor hearing function (SRTn\u2009&gt;\u2009\u22123.5\u2009dB SNR). To define multimorbidity, 9 chronic diseases were considered, including chronic obstructive pulmonary disease, dementia, Parkinson's disease, stroke, cancer, depression, osteoarthritis, coronary heart disease, and diabetes; multimorbidity was defined as the coexistence of 2 or more in the same individual. Analyses were conducted using logistic models adjusted for relevant confounders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the study participants, 54.5% were women, and the mean (range) age was 56.7 (39\u201072) years. The prevalence of insufficient and poor hearing function and multimorbidity was 13% and 13.2%, respectively. In comparison with having a normal SRTn, the odds ratio (95% confidence interval) of multimorbidity associated with insufficient SRTn was 1.13 (1.08\u20101.18), and with poor SRTn was 1.25 (1.14\u20101.37).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Insufficient and poor hearing function was associated with multimorbidity. 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