Health needs of Hong Kong Chinese pregnant adolescents.
BACKGROUND
The outcomes of adolescent pregnancy have been associated with health risks such as obstetric complications and depression, and educational risks such as school dropout and reduced employment opportunities. These outcomes arise from a range of needs including perceived health needs, which are the focus of this paper.


OBJECTIVE
This paper reports a study to identify the perceived needs of Hong Kong Chinese adolescents following confirmation of an unintended pregnancy.


METHODS
An exploratory qualitative approach was used with a purposive sample of 10 Hong Kong Chinese pregnant adolescents. The study was undertaken during their stay in a non-government organization maternal shelter. Semi-structured interviews were used to explore adolescents' perceptions of their psychological, social and health needs and the extent to which each of these needs was met.


RESULTS
Six major categories were identified within the context of need, of which three were related to health needs: acceptance of the pregnancy; psychological reactions to the pregnancy; and use of contraception and health advice.


CONCLUSIONS
The findings contribute to an understanding of the perceived health needs of Chinese adolescents, in particular those that are culturally determined. Implications for nursing practice indicate the significance of comprehensive health assessments and health promotion strategies to help adolescents increase their knowledge about sexual health and contraception.
Woo
Helen
H
Dr James Fung Obstetric and Gynaecology Clinic, Mongkok, Kowloon, Hong Kong, China.
Twinn
Sheila
S
D000223:Adaptation, Psychological; D000293:Adolescent; D016497:Adolescent Health Services; D003267:Contraception / Q000379:methods; D003469:Culture; D005260:Female; D006293:Health Promotion; D006301:Health Services Needs and Demand / Q000592:standards; D006723:Hong Kong; D006801:Humans; D010817:Physician-Patient Relations; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000523:psychology*; D012736:Sex Education; D012725:Sexual Behavior / Q000523:psychology