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电子厌食症和电子暴食症:支持进食障碍网站的内容分析。

e-Ana and e-Mia: A content analysis of pro-eating disorder Web sites.

机构信息

Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.

出版信息

Am J Public Health. 2010 Aug;100(8):1526-34. doi: 10.2105/AJPH.2009.172700. Epub 2010 Jun 17.

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 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.

摘要

目的

互联网上有很多描述、支持进食障碍的网站。本研究旨在调查支持进食障碍的网站特征及其用户可能接触到的信息。

方法

我们对 180 个活跃的网站进行了系统的内容分析,记录网站的后勤保障、网站的附加功能、“瘦感灵感”材料(旨在激发减肥欲望的图像和散文)、小贴士和窍门、康复、主题和感知到的危害。

结果

几乎所有(91%)的网站都对公众开放,大多数(79%)具有互动功能。绝大多数(84%)提供厌食症内容,64%提供贪食症内容。很少有网站关注进食障碍作为一种生活方式选择。85%的网站上都有“瘦感灵感”材料,83%的网站提供了明确的建议,指导如何进行进食障碍行为。38%的网站包含以康复为导向的信息或链接。常见的主题是成功、控制、完美和团结。

结论

支持进食障碍的网站提供了大量的图形材料,以鼓励、支持和激发网站用户继续努力追求厌食症和贪食症。持续监测将为更好地了解这些网站对用户的影响提供有价值的基础。

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