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To the Editor.—In the article by Dr Cruickshanks and colleagues¹ describing an association between hearing loss and smoking (either active or passive) in middle-aged and elderly individuals, the authors accurately described our findings of an association between passive smoke exposure and an auditory processing task in 6- to 11-year-old children.² However, not mentioned by Cruickshanks et al but consistent with that report is an association between maternal smoking during pregnancy and altered auditory-based behavior in offspring that extends from birth to at least early adolescence.

In a low-risk, predominantly middle-class sample that has been assessed in a prospective fashion since the early 1980s, after controlling for environmental, demographic, and other drug-use variables, neonates born to maternal smokers contrasted with neonates born to marijuana users or non–drug users were observed to have increased sound thresholds and decreased rates of auditory habituation. The same sample demonstrated, at infancy, in early and . . . [Full Text of this Article]

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Cigarette Smoking and Hearing Loss: The Epidemiology of Hearing Loss Study
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JAMA. 1998;279(21):1715-1719.
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