A grounded theory approach was used to describe how males and females
in late adolescence communicate with their sexual partners about sexua
l risk behaviors. Interviews were audiotaped with 18 women and 15 men
from a university in the southeastern United States. Verbatim transcri
pts were analyzed using constant comparative analysis. Building trust
was identified as the core variable for both men and women. For women,
prerequisites for building trust were being involved in caring relati
onships and indirectly gathering information about potential sexual pa
rtners. For men, prerequisites were being involved in curing relations
hips and using their instincts. Women usually initiated safe-sex talk,
but men were willing to discuss it, once the conversation was initiat
ed. Findings can serve as a guide for developing nursing strategies th
at promote more effective communication about sexual risk behavior in
this age group.