{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T11:09:22Z","timestamp":1760267362577},"reference-count":26,"publisher":"Wiley","issue":"17-18","license":[{"start":{"date-parts":[[2015,5,28]],"date-time":"2015-05-28T00:00:00Z","timestamp":1432771200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Hong Kong Paediatric Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To explore the knowledge, attitudes and practices of paediatric nurses in Hong Kong towards adolescent sexual health issues.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>In Hong Kong, teens are becoming more sexually permissive. As a result, early sexual activity, Sexually transmitted diseases (STD) and unplanned pregnancies among adolescents are increasing. Paediatric nurses are potentially excellent sexual health educators; however, studies in other countries have reported that nurses have inadequate knowledge and skills about sexual health. Little is known about the knowledge, attitudes and practices of nurses in Hong Kong related to teen sexual health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This is a cross\u2010sectional survey study. The survey was developed after an extensive literature review and partially adapted from previously validated questionnaires on nursing needs, knowledge, attitude and practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An anonymous self\u2010administered questionnaire in Chinese was distributed to 500 nurses in Hong Kong attending a local paediatric conference. Participants (<jats:italic>n<\/jats:italic>\u00a0=\u00a0394) were recruited using convenience sampling methods. Survey data were analysed using descriptive statistics, correlation tests and logistic regression analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The majority of nurses had a high awareness of the importance of sexual healthcare, but rarely felt knowledgeable or comfortable discussing sexual health issues with adolescents. Higher comfort level was associated with higher frequency of practice with an average adjusted odds ratios of 2\u00b764. Inadequate or lack of training (39\u00b74%) was the most significant barrier in providing adolescent sexual health screening and counselling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Nurses\u2019 clinical practices towards adolescent's sexual health issues were influenced by their perceived comfort level followed by their self\u2010ranked knowledge and training experience. Further specific training on communication, counselling and general sexual health should be provided to nurses in Hong Kong.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Nurses\u2019 comfort level was the most important factor influencing their clinical practice with teens. Further specific training should be provided to nurses in Hong Kong to improve adolescent sexual health.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.12869","type":"journal-article","created":{"date-parts":[[2015,5,28]],"date-time":"2015-05-28T17:58:29Z","timestamp":1432835909000},"page":"2591-2600","source":"Crossref","is-referenced-by-count":6,"title":["\u2018Let's talk about sex\u2019 \u2013 A Knowledge, Attitudes and Practice study among Paediatric Nurses about Teen Sexual Health in Hong Kong"],"prefix":"10.1111","volume":"24","author":[{"given":"Benjamin Hon\u2010Kei","family":"Yip","sequence":"first","affiliation":[{"name":"JC School of Public Health and Primary Care The Chinese University of Hong Kong Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao\u2010Tong","family":"Sheng","sequence":"additional","affiliation":[{"name":"JC School of Public Health and Primary Care The Chinese University of Hong Kong Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivian Wai\u2010Yen","family":"Chan","sequence":"additional","affiliation":[{"name":"JC School of Public Health and Primary Care The Chinese University of Hong Kong Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lilian Hiu\u2010Lei","family":"Wong","sequence":"additional","affiliation":[{"name":"Hong Kong Paediatric Foundation Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanna Wai\u2010Yee","family":"Lee","sequence":"additional","affiliation":[{"name":"Hong Kong Paediatric Foundation Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anisha Anna","family":"Abraham","sequence":"additional","affiliation":[{"name":"JC School of Public Health and Primary Care The Chinese University of Hong Kong Hong Kong China"},{"name":"Georgetown University Hospital Washington DC USA"},{"name":"School of Public Health Prince of Wales Hospital Hong Kong Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,5,28]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"A Abraham C Lau HL Wong J Kim 2013"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0197-0070(90)90037-3"},{"key":"e_1_2_13_4_1","unstructured":"Canadian Paediatric Society(2014)Position Statements and Practice Points \u2013 Adolescent Pregnancy. 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