title: 'Let's talk about sex' - A Knowledge, Attitudes and Practice study among Paediatric Nurses about Teen Sexual Health in Hong Kong.
abstract: OBJECTIVE
  To explore the knowledge, attitudes and practices of paediatric nurses in Hong Kong towards adolescent sexual health issues.
  
  
  BACKGROUND
  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.
  
  
  METHODS
  This is a cross-sectional 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.
  
  
  METHODS
  An anonymous self-administered questionnaire in Chinese was distributed to 500 nurses in Hong Kong attending a local paediatric conference. Participants (n = 394) were recruited using convenience sampling methods. Survey data were analysed using descriptive statistics, correlation tests and logistic regression analyses.
  
  
  RESULTS
  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 2·64. Inadequate or lack of training (39·4%) was the most significant barrier in providing adolescent sexual health screening and counselling.
  
  
  CONCLUSIONS
  Nurses' clinical practices towards adolescent's sexual health issues were influenced by their perceived comfort level followed by their self-ranked knowledge and training experience. Further specific training on communication, counselling and general sexual health should be provided to nurses in Hong Kong.
  
  
  CONCLUSIONS
  Nurses' 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.
authors.affiliation: JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
authors.forename: Benjamin Hon-Kei
authors.initials: BH
authors.lastname: Yip
authors.affiliation: JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
authors.forename: Xiao-Tong
authors.initials: XT
authors.lastname: Sheng
authors.affiliation: JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
authors.forename: Vivian Wai-Yen
authors.initials: VW
authors.lastname: Chan
authors.affiliation: Hong Kong Paediatric Foundation, Hong Kong, China.
authors.forename: Lilian Hiu-Lei
authors.initials: LH
authors.lastname: Wong
authors.affiliation: Hong Kong Paediatric Foundation, Hong Kong, China.
authors.forename: Susanna Wai-Yee
authors.initials: SW
authors.lastname: Lee
authors.affiliation: JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.|Georgetown University Hospital, Washington, DC, USA.|School of Public Health, Prince of Wales Hospital, Hong Kong, Hong Kong.
authors.forename: Anisha Anna
authors.initials: AA
authors.lastname: Abraham
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D016497:Adolescent Health Services; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006723:Hong Kong; D006801:Humans; D008297:Male; D008875:Middle Aged; D010371:Pediatric Nursing; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000451:nursing / Q000517:prevention & control*; D011795:Surveys and Questionnaires
keywords: Chinese adolescents; adolescent health; counselling; education; knowledge; nurse practitioners; nursing practice; paediatrics; sexual health