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E-Ana and e-Mia: A content analysis of pro-eating disorder web sites

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  • Borzekowski, D.L.G.
  • Schenk, S.
  • Wilson, J.L.
  • Peebles, R.

Abstract

Objectives. The Internet offers Web sites that describe, endorse, and support eating disorders. We examined the features of pro-eating disorder Web sites and the messages to which users may be exposed. Methods. We conducted a systematic content analysis of 180 active Web sites, noting site logistics, site accessories, "thinspiration" material (images and prose intended to inspire weight loss), tips and tricks, recovery, themes, and perceived harm. Results. Practically all (91 %) of the Web sites were open to the public, and most (79%) had interactive features. A large majority (84%) offered pro-anorexia content, and 64% provided pro-bulimia content. Few sites focused on eating disorders as a lifestyle choice. Thinspiration material appeared on 85% of the sites, and 83% provided overt suggestions on how to engage in eatingdisordered behaviors. Thirty-eight percent of the sites included recovery-oriented information or links. Common themes were success, control, perfection, and solidarity. Conclusions. Pro-eating disorder Web sites present graphic material to encourage, support, and motivate site users to continue their efforts with anorexia and bulimia. Continued monitoring will offer a valuable foundation to build a better understanding of the effects of these sites on their users.

Suggested Citation

  • Borzekowski, D.L.G. & Schenk, S. & Wilson, J.L. & Peebles, R., 2010. "E-Ana and e-Mia: A content analysis of pro-eating disorder web sites," American Journal of Public Health, American Public Health Association, vol. 100(8), pages 1526-1534.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.172700_9
    DOI: 10.2105/AJPH.2009.172700
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    Cited by:

    1. Daniel Romer & Michael Rich, 2016. "Afterword to the Issue “Adolescents in the Digital Age: Effects on Health and Development”," Media and Communication, Cogitatio Press, vol. 4(3), pages 90-94.
    2. Teo Keipi & Atte Oksanen & James Hawdon & Matti Näsi & Pekka Räsänen, 2017. "Harm-advocating online content and subjective well-being: a cross-national study of new risks faced by youth," Journal of Risk Research, Taylor & Francis Journals, vol. 20(5), pages 634-649, May.
    3. Carmela Mento & Maria Catena Silvestri & Maria Rosaria Anna Muscatello & Amelia Rizzo & Laura Celebre & Martina Praticò & Rocco Antonio Zoccali & Antonio Bruno, 2021. "Psychological Impact of Pro-Anorexia and Pro-Eating Disorder Websites on Adolescent Females: A Systematic Review," IJERPH, MDPI, vol. 18(4), pages 1-14, February.

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