Ana and the Internet: a review of pro-anorexia websites.
OBJECTIVE
The purpose of this article is to describe the content of pro-anorexia websites, both qualitatively and quantitatively.


METHODS
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.


CONCLUSIONS
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.
Norris
Mark L
ML
Paediatric Medicine and Adolescent Health, The Department of Paediatrics, University of Ottawa, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada. mnorris@cheo.on.ca
Boydell
Katherine M
KM
Pinhas
Leora
L
Katzman
Debra K
DK
D000856:Anorexia Nervosa / Q000523:psychology; D001294:Attitude to Health; D004032:Diet; D006801:Humans; D033181:Information Dissemination; D020407:Internet; D012309:Risk-Taking; D015431:Weight Loss