e-Ana and e-Mia: A Content Analysis of Pro-Eating Disorder Web Sites

e-Ana and e-Mia: A Content Analysis of Pro-Eating Disorder Web Sites
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DOI:
10.2105/ajph.2009.172700
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发表时间:
2010-08-01
影响因子:
12.7
通讯作者:
Peebles, Rebecka
Peebles, Rebecka
中科院分区:
医学2区
文献类型:
--
作者:
Borzekowski, Dina L. G.;Schenk, Summer;Peebles, Rebecka

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目标。互联网上提供了描述、支持和支持饮食失调的网站。我们检查了支持进食障碍的网站的特点和用户可能接触到的信息。我们对180个活跃的网站进行了系统的内容分析,记录了网站物流、网站附件、“思考”材料(旨在激励减肥的图片和散文)、提示和技巧、恢复、主题和感知的危害。几乎所有的网站(91%)都对公众开放,大多数(79%)有互动功能。绝大多数(84%)提供了支持厌食症的内容,提供了支持暴食症的内容。很少有网站将饮食失调作为一种生活方式选择。85%的网站上出现了发汗材料,83%的网站提供了关于如何进行饮食失调行为的公开建议。38%的网站包含面向恢复的信息或链接。共同的主题是成功、控制、完美和团结。支持进食障碍的网站提供图形材料,以鼓励、支持和激励网站用户继续努力治疗厌食症和暴食症。持续监测将为更好地了解这些网站对其用户的影响提供宝贵的基础。(我是J公共卫生。2010;100:1526-1534。DOI:10.2105/AJPH.2009.172700)
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 eating-disordered 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. (Am J Public Health. 2010;100:1526-1534. doi:10.2105/AJPH.2009.172700)