Exposure to tobacco smoke prenatally and during infancy and risk of hearing impairment among children in Japan: A retrospective cohort study.

Abstract:

BACKGROUND:Previous studies of the association between tobacco smoke and hearing loss in children are limited, involve small samples and are cross-sectional. We investigated the association of maternal smoking during pregnancy and exposure to tobacco smoke at age 4 months with hearing impairment at age 3 years in children. METHODS:This population-based retrospective cohort study included 50 734 children born between 2004 and 2010 in Kobe City, Japan. Smoking during pregnancy and exposure to tobacco smoke at 4 months was measured using parent-reported questionnaires. Hearing impairment was determined by the whispered voice test. RESULTS:Of the included children, 3.8% were exposed to smoking only during pregnancy; 3.9% were exposed only to second-hand smoke at 4 months; and 0.9% were exposed to tobacco smoke during pregnancy and at 4 months. The prevalence of hearing impairment at age 3 years was 4.6%. Compared with children not exposed to tobacco smoke prenatally and at 4 months, the risk of hearing impairment was elevated in children exposed to only maternal past smoking during pregnancy (RR 1.26, 95% CI 1.13, 1.40), only second-hand smoke at 4 months (RR 1.30, 95% CI 1.07, 1.56), only smoking during pregnancy (RR 1.68, 95% CI 1.42, 2.00) and smoking during pregnancy and second-hand smoke at 4 months (RR 2.35, 95% CI 1.79, 3.10). CONCLUSIONS:Exposure to tobacco smoke prenatally and postnatally was associated with hearing impairment in children. A prevention of smoking before and during pregnancy and exposure to second-hand smoke postnatally may reduce hearing impairment risk in children.

authors

Wilunda C,Yoshida S,Tanaka S,Kanazawa Y,Kimura T,Kawakami K

doi

10.1111/ppe.12477

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

430-438

issue

5

eissn

0269-5022

issn

1365-3016

journal_volume

32

pub_type

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