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Scholars have called for research to identify mechanisms that underlie these associations as well as to delineate factors to target in prevention and intervention efforts. This study aimed to build on central tenets of objectification theory through its examination of sexist experiences in relation to body surveillance, body shame, depressive symptoms, and the health risk behaviors of substance use (i.e., alcohol and drug misuse) and sexual risk (i.e., condom use and number of sexual partners) among a large sample of college student women. We also examined whether body surveillance, body shame, and depressive symptoms would mediate theorized pathways extended to substance use and sexual risk. A sample of 505 full-time college student women ages 18\u201326 completed an online survey that assessed their health and behaviors. We used structural equation modeling to test mediation hypotheses. Results largely supported hypotheses, extended objectification theory to sexual risk, and expanded upon past research on objectification in relation to substance use. Notably, results of this study provided a more nuanced knowledge of how objectification may lead to increases in sexual risk when assessed by number of sexual partners (but not condom use). Further research is warranted to understand potential explanatory pathways between sexism, objectification, and sexual risk. Findings can inform prevention and intervention efforts to target body surveillance, body shame, and depressive symptoms to attempt to reduce the burden of sexist experiences on women\u2019s health.<\/jats:p>","DOI":"10.1177\/26320770211054359","type":"journal-article","created":{"date-parts":[[2021,12,23]],"date-time":"2021-12-23T23:15:10Z","timestamp":1640301310000},"page":"68-96","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["The Role of Objectification in College Women\u2019s Substance Misuse and Sexual Risk"],"prefix":"10.1177","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1022-1777","authenticated-orcid":false,"given":"Melissa M.","family":"Ertl","sequence":"first","affiliation":[{"name":"Department of Psychiatry, HIV Center for Clinical and Behavioral Studies at Columbia University, New York, NY, United States"},{"name":"New York State Psychiatric Institute, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob S.","family":"Sawyer","sequence":"additional","affiliation":[{"name":"Department of Psychology, Pennsylvania State University, Mont Alto, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica L.","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Educational and Counseling Psychology, University at Albany-State University of New York, Albany, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel E.","family":"Brenner","sequence":"additional","affiliation":[{"name":"Department of Psychology, Colorado State University, Fort Collins, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,12,23]]},"reference":[{"key":"bibr1-26320770211054359","volume-title":"American College Health Association national college health assessment II: Undergraduate student reference group data report spring 2016","author":"American College Health Association","year":"2016"},{"key":"bibr2-26320770211054359","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"bibr3-26320770211054359","volume-title":"Report of the APA task force on the sexualization of girls","author":"American Psychological Association","year":"2007"},{"key":"bibr4-26320770211054359","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-016-0692-8"},{"key":"bibr5-26320770211054359","doi-asserted-by":"publisher","DOI":"10.1037\/men0000217"},{"key":"bibr6-26320770211054359","doi-asserted-by":"publisher","DOI":"10.1080\/03630240802092175"},{"key":"bibr7-26320770211054359","doi-asserted-by":"publisher","DOI":"10.1177\/0011000017710216"},{"key":"bibr8-26320770211054359","doi-asserted-by":"publisher","DOI":"10.1177\/0011000010378449"},{"issue":"6","key":"bibr9-26320770211054359","first-page":"1","volume":"46","author":"Centers for Disease Control and Prevention (CDC)","year":"1997","journal-title":"Surveillance Summaries"},{"key":"bibr10-26320770211054359","volume-title":"Sexually transmitted disease surveillance 2016","author":"Centers for Disease Control (CDC)","year":"2017"},{"key":"bibr11-26320770211054359","doi-asserted-by":"publisher","DOI":"10.1521\/aeap.2011.23.5.397"},{"key":"bibr12-26320770211054359","doi-asserted-by":"publisher","DOI":"10.1177\/2056305118786727"},{"key":"bibr13-26320770211054359","first-page":"363","volume-title":"The use of psychological testing for treatment planning and outcomes assessment: Instruments for adults","author":"Eaton W. 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