Cement concrete pavements are crucial to urban infrastructure, significantly influencing road safety and environmental sustainability with their anti-skid and noise reduction properties. However, while texturing techniques like transverse grooving have been widely adopted to enhance skid resistance, they may inadvertently increase road noise. This study addressed the critical need to optimize pavement textures to balance improved skid resistance with noise reduction. Tests were conducted to assess the influence of surface texture on skid resistance and noise, exploring the relationship between texture attributes and their performance in these areas. The investigation examined the effects of texture representation methods, mean profile depth, and the high-speed sideway force coefficient (SFC) on noise intensity and pavement skid resistance. The findings revealed that transverse grooves significantly improved the SFC, enhancing skid resistance. In contrast, longitudinal burlap drag, through its micro- and macro-texture adjustments, effectively reduced vibration frequencies between the tire and pavement, thus mitigating noise. Utilizing the TOPSIS multi-objective optimization framework, an optimization model for pavement textures was developed to augment skid resistance and noise reduction at varying speeds. The results indicated that at 60 km/h, an optimal balance of groove width, depth, and spacing yielded superior skid resistance with a minimal noise increase. At 80 km/h, increased groove spacing and depth were shown to effectively decrease noise while maintaining efficient water evacuation. The optimal pavement texture design must consider the specific context, including traffic volume, vehicle types, and operating speeds. This study provides essential guidance for optimizing urban cement concrete pavement textures, aiming to diminish traffic noise and bolster road safety.