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In a cross\u2010sectional analysis of 332 SCA adults, we investigated whether the distressed community index (DCI) was associated with SCA\u2010related complications and nutritional status. More patients with higher DCI had Medicaid insurance. A higher DCI was independently associated with tobacco use and lower body mass index, serum albumin, and vitamin D 25\u2010OH levels after adjusting for insurance status but was not associated with SCA\u2010related complications. Future studies investigating access to healthy foods may help improve health equity in patients with SCA.<\/jats:p>","DOI":"10.1002\/jha2.661","type":"journal-article","created":{"date-parts":[[2023,2,17]],"date-time":"2023-02-17T09:28:57Z","timestamp":1676626137000},"page":"432-436","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Community\u2010level socioeconomic distress is associated with nutritional status in adults with sickle cell anemia"],"prefix":"10.1002","volume":"4","author":[{"given":"Syeda Akila","family":"Ally","sequence":"first","affiliation":[{"name":"Division of Hematology and Oncology Department of Medicine University of Illinois at Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Han","sequence":"additional","affiliation":[{"name":"Division of Hematology and Oncology Department of Medicine University of Illinois at Chicago  Chicago Illinois USA"},{"name":"Department of Pharmacy Practice College of Pharmacy University of Illinois at Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Sun","sequence":"additional","affiliation":[{"name":"Division of Hematology and Oncology Department of Medicine University of Illinois at Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert E.","family":"Molokie","sequence":"additional","affiliation":[{"name":"Division of Hematology and Oncology Department of Medicine University of Illinois at Chicago  Chicago Illinois USA"},{"name":"Department of Medicine Jesse Brown VA Medical Center  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor R.","family":"Gordeuk","sequence":"additional","affiliation":[{"name":"Division of Hematology and Oncology Department of Medicine University of Illinois at Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James P.","family":"Lash","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine University of Illinois at Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santosh L.","family":"Saraf","sequence":"additional","affiliation":[{"name":"Division of Hematology and Oncology Department of Medicine University of Illinois at Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.06.036673"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1590\/1984-0462\/;2018;36;4;00010"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bmt.1705622"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-018-4478-7"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0800405"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdt100"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.28877"},{"key":"e_1_2_9_9_1","unstructured":"EIG.Distressed Communities \u2010 Economic Innovation Group. 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