Adults have options. We close a window, move to the other room, put on headphones, or simply decide the noise doesn't matter today.
A two-month-old has none of these. The coping strategies that let adults tune out a busy street are, in an infant, still under construction - and so is the stress-response circuitry itself. Chronic activation of that system, with sustained elevated cortisol, is understood to interfere with the development of the brain regions that handle memory and emotional regulation.
The timing findings support this. Exposure at two months - the earliest measurement point, when the brain is at its most plastic - was associated with peer-relationship difficulties at age ten. A second window of vulnerability appeared around age five and a half, the school-entry transition, where exposure was also linked to some hyperactivity and inattention.
And children carry more of the burden than the household average suggests, simply because they spend more hours in the bedroom than anyone else in the family. Night-time noise is weighted more heavily in European noise metrics precisely because of its outsized effect on health - and the bedroom is where a child meets it.