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Smoking can impact hearing by: Reducing oxygen supply to the cochlea, a critical part of the inner ear Damaging blood vessels and limiting circulation to the auditory pathways Increasing the risk of ear infections and inflammation Disrupting the transmission of sound signals from the ear to the brain Smokers are more likely to experience high-frequency hearing loss, which affects the ability to hear consonants, alarms or high-pitched voices

In this prospective study, we validated self-reported tobacco use against nicotine exposure assessed by plasma cotinine in the Norwegian Mother and Child Cohort Study (MoBa)