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subsequently withdraw from social experiences in order to avoid discrimination and embarrassment. Obesity also has indirect effects on several areas, such as the patient’s work, family, and lifestyle. Employees who are obese are more likely to take additional sick days, take longer leaves of absences, and file more worker’s compensation claims (Borak, 2011). This causes a loss of productivity for the employee and the company and increases costs associated with employer-sponsored insurance and worker’s compensation along with a loss of revenue for the employer.Obesity may also affect one’s family members. Studies have shown that children of overweight parents have an 80% chance of also being overweight (Earhart, 2010). This can be due to both genetics and family environment. Behaviors and habits in the home may contribute to being overweight, such as food preferences and sedentary behaviors. For those family members who are not overweight, other negative effects may be seen. For example, an obese parent may not be able to physically play with their child or participate in family activities. The obese family member may also not be able to work to contribute to the family income. Obesity rates affect the community of the State of Arizona. In 2018, 29.5% of Arizona adults were obese, ranking the state 30th in the nation (Christ, 2018). Obesity prevention efforts have been implemented throughout the state, including the Arizona Health Improvement Plan: Healthy People, Healthy Communities plan. This plan includes four key strategies to help prevent obesity, including making affordable and healthy foods more accessible, increasing physical activity, incorporating obesity prevention and treatment into medical care, and
EFFECTS OF OBESITY24empowering all Arizonans to adopt a healthy lifestyle. Other outreach programs and resources include the Empower program, which supports child-care facilities in preventing obesity and the Arizona Women, Infants, and Children’s Program which provides healthy foods, nutrition education, and breastfeeding support. AZ Health Zone works to assist low-income communities by making healthy eating and active living affordable and more convenient (Christ, 2018).CostsThe costs associated with obesity impact the patient, their family, and the community. For the patient, obese adults spend 42% more on direct healthcare costs than adults who are a healthy weight (The State of Obesity, 2019). Furthermore, per capita healthcare costs for severely obese adults are 81% higher than for healthy weight adults. Between 2005 and 2010, the amount by which obesity raised medical costs per obese adult increased from $3070 to $3508, or an increase of over 14% (Biener, Cawley, & Meyerhoefer, 2017). While many patientsmay have access to Medicare, Medicaid, or private insurance, there are still costs associated withco-payments and deductibles for treatment and prevention. Obese patients can be expected to have to pay in full or in part for services such as doctor visits, weight loss and other comorbid