1. Community‐level socioeconomic distress is associated with nutritional status in adults with sickle cell anemia
- Author
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Syeda Akila Ally, Jin Han, Ryan Sun, Robert E. Molokie, Victor R. Gordeuk, James P. Lash, and Santosh L. Saraf
- Subjects
distressed community index ,nutrition ,sickle cell anemia ,socioeconomic ,Diseases of the blood and blood-forming organs ,RC633-647.5 - Abstract
Abstract Sickle cell anemia (SCA) negatively impacts the ability to achieve educational and occupational goals increasing vulnerability to socioeconomic challenges. In a cross‐sectional analysis of 332 SCA adults, we investigated whether the distressed community index (DCI) was associated with SCA‐related 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‐OH levels after adjusting for insurance status but was not associated with SCA‐related complications. Future studies investigating access to healthy foods may help improve health equity in patients with SCA.
- Published
- 2023
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