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Published on: May 14, 2018
Ana and the Internet: a review of pro-anorexia websites
Mark L Norris1, Katherine M Boydell, Leora Pinhas
1Paediatric Medicine and Adolescent Health, The Department of Paediatrics, University of Ottawa, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada. mnorris@cheo.on.ca
Objective:
The purpose of this article is to describe the content of pro-anorexia websites, both qualitatively and quantitatively.
Method:
An Internet search protocol was developed to identify pro-anorexia websites. A grounded theory approach was used to generate themes from Internet-based information. Basic descriptive analysis was employed to report on key website characteristics.
Results:
Twenty pro-anorexia websites met inclusion criteria. Saturation of themes was achieved after review of 12 websites. Key website characteristics included purpose of website (75%), information about webmaster (67%), website disclaimers (58%), and information on "tips and tricks" (67%). Religious metaphors, lifestyle descriptions, and "thinspiration" (inspirational photo galleries and quotes that aim to serve as motivators for weight loss) were frequently present. A total of 10 themes were generated. The most prevalent themes included control, success, and perfection.
Conclusion:
Health-care providers and caregivers should be aware of pro-anorexia websites and their content, as these websites contain information that promote and support anorexia nervosa.
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