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Updated: Aug 4, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
Passive smoking and hearing loss in infants
1Eastern Health Board, Dublin.
Infant hearing deficits are significantly more common in babies exposed to cigarette smoke. This study found a 4.9 times increased risk, highlighting smoke exposure as a key factor in childhood hearing loss.
Area of Science:
- Pediatrics
- Otolaryngology
- Environmental Health
Background:
- Prenatal and postnatal exposure to environmental toxins is a growing concern in child development.
- Cigarette smoke contains numerous harmful chemicals that can impact delicate physiological systems.
- Existing research suggests a link between environmental smoke exposure and various infant health issues.
Purpose of the Study:
- To investigate the association between cigarette smoke exposure and the prevalence of hearing deficits in infants.
- To quantify the increased risk of hearing impairment in infants exposed to secondhand smoke.
- To determine the proportion of hearing loss cases attributable to cigarette smoke exposure.
Main Methods:
- A cohort of infants attending a 10-month developmental assessment was studied.
- Hearing was initially assessed using the standard distraction test.
- Infants with persistent hearing abnormalities were referred for audiological evaluation.
Main Results:
- 77% of the studied infants were exposed to cigarette smoke.
- 40% of infants failed the initial hearing screening test.
- Cigarette smoke exposure was linked to a 4.9-fold increase in hearing deficit prevalence.
- 75% of hearing loss cases were statistically attributed to cigarette smoke exposure.
Conclusions:
- Infant exposure to cigarette smoke is strongly associated with an increased prevalence of hearing deficits.
- Secondhand smoke is a significant contributing factor to hearing loss in young children.
- These findings support the hypothesis that cigarette smoke exposure causes hearing impairment in children.
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