Residents living near airports are exposed to aircraft noise. In this study we investigated the association between aircraft noise exposure and high annoyance or sleep disturbance in the vicinity of 14 civil and military airports in the Netherlands. Data of 262.310 participants was used from the Municipal Public Health Service Health Monitor 2020, a nationwide survey on the state of public health. In the analyses the responses on the 11-point scale ISO questionnaire aircraft noise annoyance and sleep disturbance are combined with modelled noise exposure at the residential address. We conducted population-weighted logistic regression models with both a linear and non-linear exposure effect. It was possible to derive exposure-response relationship for most larger airports in the Netherlands. More residents were highly annoyed and sleep disturbed in 2020 at the same air traffic noise levels than in a study conducted in 2002 around Schiphol Airport which exposure response relationship is often used in Dutch policy. The survey was conducted during the COVID19 pandemic which could have influenced the results. Key recommendations from this research are the application of airport specific, recent and non-linear exposure response relationships. We plan to expand this current research on air traffic noise to rail and road traffic noise.