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ABSTRACT The focus of the qualitative study was to explore college student sexual health choices from a 4- year undergraduate institution. The study could be used for future research into why the numbers of sexual risk choices including sexually transmitted diseases (STDs) remain among college campuses, and how they affect academic success. Through triangulation of past research and interview findings using social leaning theory, identification of the reasoning behind the continued increase of sexual risk behavior was identified. Also found were possible support systems, behavioral health coping strategies, and leadership skills that could be put into place for college students to acquire academic success. Fundamental themes were recognized and included a value system, altruism, and self-efficacy. The study may help to confirm prior research on the distinctive nature and density of sexual health choices among college students. The study found that positive self-identity, support systems, and strong leadership all play a significant role in positive sexual health choices and academic success.