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• W4386914642 endingPage "102432" @default.
• W4386914642 startingPage "102432" @default.
• W4386914642 abstract "Laughter has a protective effect on human health. The spread of coronavirus disease 2019 (COVID-19) has changed opportunities for face-to-face communication and might decrease opportunities for laughter. This cross-sectional study aimed to investigate whether the decrease in face-to-face communication during the COVID-19 pandemic is associated with a decrease in laughter. Additionally, we investigated whether an increase in online communication mitigates this association. Data from the “Japan COVID-19 and Society Internet Survey (JACSIS),” conducted between August and September 2020, were used. Participants aged 15–79 years were included in this study. The outcome was a decrease in laughter before the onset of the COVID-19 pandemic. The explanatory variables were decreased face-to-face communication with friends and increased online communication (text message, telephone, and video contact). Causal mediation analysis was used to calculate prevalence ratios (PRs) and 95% confidence intervals (CIs) of the controlled direct effects of increased online communication. Furthermore, the proportions eliminated (PEs) by an increase in online communication were calculated. Among the 25,482 participants, 40.4% had decreased face-to-face communication and 21.4% had a decreased frequency of laughter. After adjusting for confounders, a decrease in face-to-face communication was significantly associated with a decrease in laughter (PR=1.62, 95%CI=1.55–1.70). PEs for decrease in laughter were 27.2% (95%CI= –2.0 to 56.4) for text-based communication, 36.1% (95%CI=12.3–59.8) for telephone-based communication, and 28.6% (95%CI=0.6–56.6) for video-based communication. Although a decrease in face-to-face communication was associated with a decrease in laughter during the COVID-19 pandemic, online communication, particularly telephone-based communication, mitigated this association." @default.
• W4386914642 created "2023-09-22" @default.
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• W4386914642 date "2023-12-01" @default.
• W4386914642 modified "2023-10-16" @default.
• W4386914642 title "Does online communication mitigate the association between a decrease in face-to-face communication and laughter during the COVID-19 pandemic? A cross-sectional study from JACSIS study" @default.
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• W4386914642 doi "https://doi.org/10.1016/j.pmedr.2023.102432" @default.
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