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Adults with sickle cell anemia and Medicare or Medicaid/self‐pay insurance had progressively higher rates of (A) vaso‐occlusive episodes (VOE) and (B) acute chest syndrome history as well as a trend for (C) more stroke history compared to those with private insurance. A higher Distressed Community Index (DCI) was associated with lower (D) body mass index, (E) serum albumin concentration, and (F) vitamin D 25‐OH levels in adults with sickle cell anemia.
