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

Dina L.G. Borzekowski, Summer Schenk, Jenny L. Wilson, Rebecka Peebles

Research output: Contribution to journalArticlepeer-review

160 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)1526-1534
Number of pages9
JournalAmerican journal of public health
Issue number8
StatePublished - Aug 1 2010
Externally publishedYes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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