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UE April Our Health and Wellness Special Edition

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Message

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Dear Readers,At Urban Experience Magazine, we recognize that health is not just a personal journey—it is a legacy. The knowledge we pass down about nutrition, preventive care, and wellness shapes the generations to come. It is time we normalize regular doctor visits, proactive health screenings, and open conversations about mental and physical well-being. The power to create a healthier future lies within us!As we recognize Minority Health Month, this special edition shines a light on a pressing public health crisis: the disproportionate impact of HIV, sexually transmitted infections (STIs), and Hepatitis on communities of color. Breaking the Silence on HIV, STIs, and HepatitisCommunities of color continue to face higher rates of infection, late diagnoses, and barriers to healthcare access when it comes to HIV, STIs, and Hepatitis. According to the Centers for Disease Control and Prevention (CDC):• Black and Latino communities account for a disproportionate number of new HIV cases, yet often have limited access to preventive care and treatment. • STIs, including chlamydia, gonorrhea, and syphilis, are rising at alarming rates, with Black and Hispanic individuals facing some of the highest infection rates in the nation.• Hepatitis B and C, which can lead to liver disease and cancer, are more prevalent in Black, Latino, and Asian American communities, yet many remain undiagnosed and untreated.These statistics are more than just numbers—they represent real lives, families, and communities that deserve access to education, prevention, testing, and care.A Call to Action: Education, Awareness, and PreventionKnowledge is power. It’s time we break down the stigma, talk openly about sexual health, and ensure our communities have access to the information and resources needed to stay safe and healthy. This means:• Routine screenings & early detection: Regular testing for HIV, STIs, and Hepatitis can save lives and prevent further spread.• Advocating for equitable healthcare: Communities of color must have access to affordable and culturally competent medical care.2 | Our Health, Our Home: A Better Iowa

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• Promoting prevention & treatment: PrEP (pre-exposure prophylaxis) and PEP (post-exposure prophylaxis) are effective tools in preventing HIV transmission, while vaccines and treatments for Hepatitis B and C can prevent severe health complications.Inside This Special EditionIn this issue, we aim to reduce the stigma and raise awareness about the testing and treatment of HIV, STIs and Hepatitis but also encourage overall wellness amongst Iowans. We bring you insights from health experts, community leaders, and advocates who are working to close the health gap. You’ll find powerful stories of resilience, expert advice on prevention and treatment, and practical steps to protect yourself and your loved ones.At Urban Experience Magazine, we believe that health is a community effort. By raising awareness, educating ourselves, and advocating for better healthcare access, we can empower our communities to take control of their health and build a healthier future.Our Health, Our HomeWe invite you to engage with this issue, share the information, and be part of the movement to improve health outcomes for communities of color. Our health is the foundation of our homes, our families, and our communities. When we take charge of our well-being—through education, prevention, and advocacy—we strengthen the places we call home. Let’s start the conversations that can save lives and build a future where every home is a place of health, safety, and resilience.Together, we can create a future where HIV, STIs, and Hepatitis no longer disproportionately impact our communities—where education, prevention, and access to healthcare are rights, not privileges.In health and unity, Urban Experience Magazine TeamTOP LEADERS IN DES MOINES@THISISNOTMYSHOWDWANA BRADLEY Urban Experience Magazine | 3

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05 Editorial Note06 HIV IN IOWA10 Be Part of the Change14 National Minority Health Month16 Faith, Strength, & Survival18 Choosing Me20 Breaking the Silence24 Breaking Barriers26 Save the Homies28 Fatherhood Health and Healing30 Conversation on Harm Reduction32 Epidemic Congenital Syphilis35 Any Time, Any Place40 Let’s Talk About Sex43 Pledges4 4 Sel f-Te s t K i t s46 Community AIDS Assistance Project48 I tested Positive, Now What?50 The Power of Expression52 Financial Health54 The Stigma Quiz610 264820404 | Our Health, Our Home: A Better IowaCover Illustration by:`Ayumi Bennett // Cover: David Jon Walker

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Urban Experience Magazine | 5Dear Readers,In honor of National Minority Health Month, MOJO Marketing + PR, in proud partnership with Urban Experience Magazine, is proud to present this special edition, curated to spotlight the powerful intersections of health, healing, and hope across Iowa’s vibrant communities.This issue is more than a publication, it’s a public commitment. A promise to amplify the voices of survivors, providers, health advocates, and everyday changemakers who are reshaping what health equity really means. We’re shining a light not just on the disparities, but on the determination in the community that continues to rise above them.Inside, you’ll discover:• Health Advocate Spotlights celebrating those championing wellness on the front lines• Business Spotlights uplifting organizations that are building more connected communities• Candid features on Men’s Health, Harm Reduction, and Congenital Syphilis• Courageous testimonials on living with HIV, breast cancer survivorship, weight management, and sexual assault healing• Practical resources, community engagement highlights, and a powerful Stigma Quiz to challenge assumptions and open hearts• And our Minority Health Month Pledges, featuring commitments from local leaders, and an open invitation for you to join the movementAt MOJO, we believe that when you center culture, community, and healthcare, you make a lasting impact. Our goal with this issue is to make health conversations more real, more relevant, and more reflective of the people they’re meant to serve.To every reader: your story is power. Your health is a right. And your voice is needed now more than ever. Let this issue be your reminder, and your call to action.With purpose and partnership, Monchieré Holmes-Jones, CEO & Principal Strategist MOJO Marketing + PRUrban Experience Magazine TeamMonchieré Holmes-Jones CEO + Chief Brand Curator, MOJO Marketing + PRDavid Jon Walker, M.F.A Professor of Graphic Design, Yale University; Owner, Rhealistic Design; MOJO Marketing + PRAyumi Bennett Illustrator/Graphic Recorder, MOJO Marketing + PRJoshua Ogunyemi Creative Director + Branding Partner, MOJO Marketing + PRTroy Cunningham, MSPH, MHS Client Relations Manager, MOJO Marketing + PRRoma Taylor, RN, BSN Project ManagerDwana Bradley Bradley Consultants; Iowa Urban Media; Editor-in-Chief, Urban Experience MagazineTrevonte Diggs Video Producer & Owner/Operator, Cinema Pixel MediaMadison Sconiers Operations Manager, Iowa Urban MediaDestiny Smith Core Member, PITCH Iowa

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by Dr. Bharat MotwaniLIVING WITH HIV6 | Our Health, Our Home: A Better Iowa

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HIV remains a global health challenge, with 39.9 million people living with HIV worldwide in 2023, including 1.4 million children and 38.6 million adults. Despite medical advancements, the virus continues to spread, with 1.3 million new infections and 630,000 deaths from HIV-related causes in 2023. In the United States, approximately 31,800 people acquired HIV in 2022, and about 1.2 million people are currently living with the virus, with an estimated 13% unaware of their status.Understanding HIV and its Transmission HIV (Human Immunodeficiency Virus) is primarily transmitted through unprotected sexual contact, sharing of contaminated needles, mother-to-child transmission during childbirth or breastfeeding, and, in rare cases, through blood transfusions. The virus attacks the immune system, weakening the body’s ability to fight infections. While there is no cure for HIV, early diagnosis and treatment with antiretroviral therapy (ART) can significantly improve health outcomes and prevent transmission.Knowing one’s HIV status is a critical step in reducing transmission rates. Routine testing allows individuals to seek treatment early, maintain a low viral load, and prevent unknowingly spreading the virus to others. In Iowa, various Urban Experience Magazine | 7

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community initiatives and healthcare providers offer confidential and accessible testing services to encourage people to know their status and take appropriate action.Overcoming Stigma and Breaking HIV Taboos Despite advancements in treatment and prevention, stigma and misconceptions about HIV persist. Many people living with HIV face discrimination, social isolation, and fear of disclosure due to misinformation about how the virus spreads. This stigma can prevent individuals from getting tested, seeking treatment, or openly discussing their status with healthcare providers and loved ones.Breaking these taboos requires a community-wide effort to educate the public, normalize HIV discussions, and encourage compassion and support. Promoting accurate information about HIV transmission, reinforcing that individuals on ART with an undetectable viral load cannot pass the virus to others, and emphasizing the effectiveness of preventive measures like PrEP are crucial steps in reducing stigma. Encouraging open conversations and challenging outdated beliefs will create a more inclusive and supportive environment for those living with HIV.In Iowa, the fight against HIV has been met with strong healthcare strategies, placing the state among the leaders in HIV care and suppression. In 2021, Iowa achieved an impressive viral suppression rate of 81.7% among diagnosed individuals, significantly higher than the national average of 65.9%. This success can be attributed to a combination of strong federal and state funding, effective partnerships, access to viral suppression medications, and widespread use of pre-exposure prophylaxis (PrEP).HIV Statistics in Iowa experiences an average of 115 new HIV diagnoses and 75 AIDS diagnoses per year. In 2022, the state’s HIV rate was 119 per 100,000 people, reflecting the ongoing presence of the virus. However, Iowa’s commitment to healthcare access and effective treatment programs has resulted in a higher-than-average rate of viral suppression. In 2021, 82% of people diagnosed with HIV in the state successfully achieved viral suppression, demonstrating the effectiveness of Iowa’s public health initiatives.Key HIV Initiatives in Iowa Iowa has multiple initiatives aimed at ending HIV, including:• Stop HIV Iowa Plan: Based on input from over 3,000 Iowans, this plan aligns with the National HIV Strategy. It seeks to end HIV transmission in the state, eliminate stigma and discrimination, encourage people to know their HIV status, and provide access to high-quality care and treatment.8 | Our Health, Our Home: A Better Iowa

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• HIV Program: This program offers free HIV counseling and testing, provides health education and risk reduction activities, helps newly diagnosed individuals find medical care and support services, and assists in protecting partners from HIV.• PITCH (Positive Iowans Taking Charge): A community group for Iowans living with HIV that offers educational opportunities, support groups, and events to foster a sense of community and encouragement.• Additional State Efforts: Iowa provides case management and supportive services for low-income residents, data monitoring and trend analysis, and strategies to address social, political, and environmental factors contributing to HIV risk.Iowa’s Goal to End the HIV Epidemic by 2030 Iowa has set an ambitious goal of ending the HIV epidemic by 2030 and reducing new HIV diagnoses to fewer than 10 people per year. The Stop HIV Iowa Plan outlines key strategies to achieve this goal:• Increase HIV testing: Offer free HIV testing and counseling to people at risk.• Provide HIV treatment: Offer HIV medical care and support services to people living with HIV.• Reduce stigma: Work to ensure that people living with HIV are valued and respected.• Prevent new infections: Educate people about HIV and how to prevent its transmission.• Improve health outcomes: Provide access to medications that prevent, treat, or cure HIV.Understanding ART and PrEP• Antiretroviral Therapy (ART): ART is the cornerstone of HIV treatment. It involves taking a combination of medications daily to reduce the amount of HIV in the blood to undetectable levels. Achieving an undetectable viral load means that the virus cannot be transmitted to others through sexual contact (Undetectable = Untransmittable, or U=U). ART also improves overall health, strengthens the immune system, and significantly reduces the risk of opportunistic infections. In Iowa, healthcare providers ensure access to ART through clinics, telehealth services, and community health initiatives.• Pre-Exposure Prophylaxis (PrEP): PrEP is a highly effective preventive medication for individuals at high risk of contracting HIV. When taken consistently, PrEP can reduce the risk of HIV infection by up to 99% in sexual transmission and by at least 74% for people who inject drugs. Iowa has prioritized the accessibility of PrEP through public health programs, free or low-cost prescription options, and awareness campaigns to encourage its use among vulnerable populations.The Ryan White Program: Supporting HIV Care The Ryan White HIV Program is a federally funded initiative that provides essential healthcare services to people living with HIV who are uninsured or underinsured. In Iowa, this program helps individuals access life-saving medications, medical care, and support services such as case management, mental health support, and transportation assistance. By reducing financial barriers, the Ryan White Program ensures that those diagnosed with HIV receive the continuous care they need to achieve viral suppression and maintain overall well-being.Ending the HIV epidemic in Iowa requires a collective effort from the public, healthcare providers, and policymakers. By promoting education, encouraging routine testing, and ensuring access to ART and PrEP, we can reduce new infections and improve the quality of life for those living with HIV. It is essential that everyone plays a role—whether by getting tested, supporting awareness initiatives, or advocating for continued funding and research. Breaking the stigma surrounding HIV, fostering open conversations, and embracing those affected will help create a healthier, more informed community. Together, we can work toward a future free from HIV.IOWA HAS SET AN AMBITIOUS GOAL TO END THE HIV EPIDEMIC BY 2030 Urban Experience Magazine | 9

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Growing up, I never really paid attention to things like racism and politics. I don’t know if it’s because I was born in Iowa, and my mother has always made me feel safe. Or if I was just young. The HIV community connects to so many things: health, housing, mental health, drugs, and yes, race relations. So, when I began to educate myself about HIV, I also learned about racism and politics.Since my diagnosis five years ago, I think back on times in my life and have realized, “If I looked different, maybe I would have been treated differently.” Here’s one great example: When I had my son, I couldn’t sit on my bottom for an hour or two after the birth. I kept telling the nurses, but no one listened. My sister had to go out and get a doctor who finally listened. Turned out, the birth had ripped my insides, and I needed immediate surgery.by Destiny Smith Aug 1, 2023AIDS/HIV advocate strives to be “part of the change” in addressing racial disparities in health care.LIVING WITH HIVBEPARTOF THECHANGE10 | Our Health, Our Home: A Better Iowa

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BLACK WOMEN HISTORICALLY FACE RACIAL DISPARITIES IN HEALTH CAREI’ve always tried to see the positives in life, instead of pointing out negativity. After contracting HIV, I could no longer overlook that Black women have faced racial disparities in health care from the beginning of time. For example, Black women are three times more likely than white women to die during childbirth, says the Centers for Disease Control.Women overall are twice as likely as men to have depression, and more likely than white women to feel sad, but Black women are only half as likely to get mental health care (Psychiatric Times). The stereotype of the “strong Black woman” can interfere with getting help. Black people in general, but especially women, are far less likely to receive treatment for pain management, reports Capital B News. When I learned all of this, I wished I’d paid better attention. I hadn’t realized before that these things were affecting me. I now realize they’ve always affected me and most of my friends and family.Now, I’ve chosen to be part of the change. I think people like me, who are living with HIV, need to be more a part of decision-making in this field. Honestly, in health care overall, more training and education is needed about different races and cultures, because racism continues to affect us all and especially those living in challenging conditions.People come in all different ways. We all need to start changing our mindsets and educating ourselves. So much free knowledge is in the world today, there’s no reason we can’t be constantly learning. Also, if we don’t know how the world’s systems work, we can’t help where we are needed. I’m going to help you figure out those systems, and find out how you can help. I’ll be bringing you my own advice, stories, and life experiences as a Black woman and single mom living with HIV. I hope you’ll find what I have to give will help you in any aspect of your life. (This article first appeared in the May 2023 print edition of The Real Mainstream. Photos courtesy of Destiny Smith, pictured above with daughter Zamaya and son Zamir. Reach Smith through her Instagram page, or her Facebook page) Urban Experience Magazine | 11

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Health Advocates SpotlightLeeVon Harris, Owner of Non-Profit Organization Grassroots NFP Inc. and for profit GRoots Cleaning Service. I was married for three years, before becoming a widow. I am a father of four children that I adopted. I was born and raised in the Quad Cities area. My hobbies are gardening, cooking and painting with watercolors. I lived in Florida for twenty years. While living in Florida, I worked in the mental health field with adults and children, as a Behavior Modification Specialist and I worked in the school system as the Crisis Intervention Coordinator. I eventually started my own business providing services to the community. I provided services including Companion, In-Home Supports, Transportation, Employability Skills, and Behavior Modification. Once the business started doing well, I added a service working with persons living with HIV and AIDS.Involvement with HIV Advocacy:I became certified to provide HIV AIDS Education and Testing. Upon moving back to the Quad City Area, I started working for Community Action Agencies, one of the agencies that provided services for people living with HIV and AIDS. I started out doing outreach, became a Medical Case Manager and then Housing Case Manager. I served on the Illinois Department of Public Health HIV Planning Group, and I currently serve on the Iowa Department of Public Health Planning Group. Although I am an independent business owner, I continue to do the work through having fundraisers, providing resources and navigation of services.Spotlight: LeeVon HarrisIn a recent episode of This is Not My Show, host Dwana Bradley sat down with Courageous Fire, an advocate who has turned her personal experiences of domestic violence and sexual assault into a mission to uplift and empower Black women. Her journey is not just about survival—it’s about transformation, advocacy, and systemic change.Breaking the Silence on Coercive Control, Courageous Fire speaks candidly about the nuanced nature of abuse, emphasizing that physical violence is just one part of the equation. “Coercive control is the key to all domestic violence,” she explains. “Before a fist is ever raised, before a slap is ever given, the words have already been placed, the restrictions have already been given, the financial isolation has already been placed.”Scan QR code to listen to full episode.12 | Our Health, Our Home: A Better Iowa

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PREVENTION & TREATMENTFeverFatiqueSwollen lymph nodesSore throatUnprotected sexSharing needlesContact with infected bloodFrom mother to baby during birthUse condomsDon't share needlesTake medications to treat HIVGet tested for HIVSYMPTOMSHOW IS IT SPREAD?WHAT IS HIV?HIV (Human Immunodeficiency Virus) is a virus that attacks thebody's immune system. If left untreated, HIV can lead to AIDS(Acquired Immunodeficiency Syndrome).HIV 101HIV 101 HIV 101 HIV 101 Illustration/Layout by:`Joshua Ogunyemi

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National Minority Health Month takes place every April and is an initiative aimed at promoting awareness about improving healthcare in minority communities, including Black, Latino and Native American populations. The goal is to address disparities in healthcare outcomes and access to care that disproportionately affect these groups. “No doctor can ever know everything about another person’s experiences and how their cultural identity has shaped their experiences,” says Stephanie Cherestal, Ph.D., assistant professor of psychology in Clinical Psychiatry at Weill Cornell Medicine and assistant attending psychologist at NewYork-Presbyterian Hospital Westchester Behavioral Health. “But the more we are willing to learn from our patients or our clients about what their experiences are, the better we will be able to serve them.” THE PANDEMIC WORSENED HEALTH DISPARITIES It’s well-known that health outcomes and likelihood of developing certain conditions can vary based on different groups of people. Osteoporosis, for example, is more common in White women than in Black women, and prostate cancer is more common in Black men than in white or Asian men. Research also shows that the COVID-19 pandemic only worsened disparities, with an estimated 1.63 million excess deaths of Black Americans in the past two decades. That’s 80 million years of potential life lost to violence, heart disease, cancer, diabetes and COVID-19. PREVENTIVE CARE IS KEY Annual wellness visits to your primary care provider(PCP) can help detect signs of potential health conditions before they become severe. Many of these conditions, such as diabetes or heart disease, can be prevented if you make lifestyle changes or start medications in time. During your wellness visit, your PCP can run simple tests to check for: • High blood pressure, which can contribute to heart or kidney disease • High blood sugar, a sign of potential diabetes • High cholesterol, which can lead to heart disease National Minority Health Month: A Great Time to Catch Up on CareMinority Health Month14 | Our Health, Our Home: A Better Iowa

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• Sexually transmitted infections, including HIV Older adults, especially women, should also be screened for osteoporosis and may need a follow-up bone density scan. You also need regular cancer screenings. Minority populations often have higher rates of death from cancer due to late detection, even in cases where a cancer type is more common in White people. Detecting cancer when it is in its early stages means it is more likely to be treatable. Talk to your PCP about when to start screening for: Breast cancer. Women 40 and older need annual or biannual mammograms, but some women may start earlier screening due to risk factors. Cervical cancer. Women ages 21-29 should have a pap test every 3 years. Women ages 30-65 should have a pap test every 3 years, or an HPV test every 5 years, or co-testing (pap test and HPV test together) every 5. Colorectal cancer. Starting at age 45, men and women need a colonoscopy to check for colorectal cancer. If results are normal, you can go 10 years between screenings. If you are at high risk for the disease, talk to your PCP about starting screening at 40 or earlier. Lung cancer. Men and women 50 and older who are or used to be heavy smokers should consider getting annual low-dose CT scans to check for lung cancer. Prostate cancer. Men should talk with their PCP about their risk for prostate cancer and when to start screening. Some men may want to start at 40, while others may wait until 45 or 50. KNOW YOUR RISK FACTORS Although not every risk factor for heart disease or cancer is preventable, many lifestyle factors can be adjusted to lower your risk.Eat a heart healthy diet. Limit fat, red meat and sugar, and eat plenty of whole grains and vegetables. Switching to the Mediterranean diet or going vegetarian lowers your risk for many conditions, including colon cancer. Get more exercise. Aim for 150 minutes of moderate to high intensity exercise weekly, and at least two days with strength training workouts. Limit alcohol. The less alcohol you drink, the better it is for your health. The CDC recommends no more than one glass of wine per day for women and no more than two glasses for men. Maintain a healthy weight. Being overweight or obese increases your risk of diabetes, heart disease, and several types of cancer.Quit smoking. Tobacco use raises your risk of heart disease, stroke, and many kinds of cancer.Your primary care provider can work with you to make a plan for lifestyle changes that stick. DON’T NEGLECT YOUR MENTAL HEALTH Mental health care is just as important as physical health care. But statistics show minority communities are less likely to seek mental health care. In some communities, there may be a stigma around reaching out for help, especially for men. Seeking mental health care is not weak. If you’re experiencing symptoms of depression, anxiety or post-traumatic stress disorder, talking to a specialist can help you learn new coping skills. “There’s a growing body of research that has repeatedly demonstrated the negative neurobiological impacts of ongoing socioeconomic inequalities and systemic injustice,” Dr. Cherestal says. “There are different types of talk therapy, including cognitive behavioral therapy, that can help people who are struggling with racial stress and trauma.” WEILL CORNELL MEDICINE IS WORKING TOWARD CHANGE While taking steps to improve your own health is important, racial health disparities are also a systemic problem. Improving awareness of needed health screenings and preventive care is only a small part of the problem. Weill Cornell Medicine is dedicated to hiring and supporting a diverse staff, as well as a diverse student body in the Medical College. We are also committed to ongoing steps to reduce barriers to care.“Providing culturally responsive care goes hand in hand with providing optimal patient-centered care,” Dr. Cherestal says. “I believe that tailoring a treatment plan involves looking at all aspects of a patient’s identity, because we can’t look at these symptoms in a vacuum.”ARTICLE CREDIT: WEILL CORNELL MEDICINE, APRIL 9, 2024 Urban Experience Magazine | 15

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As we honor Minority Health Month, Urban Experience Magazine shines a light on the power of resilience, faith, and community support through the inspiring journey of Azalea Green, a breast cancer survivor who faced one of life’s greatest battles with unwavering determination.By Azalea GreenA Diagnosis That Changed EverythingIn January 2024, Azalea Green’s life took an unexpected turn when she received a stage one diagnosis of Triple-Negative Breast Cancer (TNBC)—one of the most aggressive forms of breast cancer. By the time she underwent all necessary testing, her diagnosis had progressed to stage two.TNBC is a fast-growing, quickly spreading cancer that lacks estrogen and progesterone receptors, making it more dicult to treat. With a family history of breast cancer, Azalea knew she had to fight with everything she had.FaithSTRENGTH& SURVIVALMinority Health Month16 | Our Health, Our Home: A Better Iowa

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The Battle Begins: Treatment & ChallengesStarting chemotherapy in February 2024, Azalea endured six grueling months of treatment, followed by a lumpectomy and removal of four lymph nodes, and 25 rounds of radiation therapy. Currently, she is undergoing infusion treatments to prevent recurrence.Her body has endured hair loss, neuropathy, extreme weakness, pain, loss of appetite, and even thyroid complications. Despite these struggles, she pushes forward, adjusting to a “new normal” and constantly monitoring her health.“You’re never the same after treatment,” Azalea shares. “The chemo is meant to kill the cancer cells, but it also takes a toll on your body. Some days are better than others, but you can’t give up.”Faith, Family, and Support: Her Pillars of StrengthThrough it all, Azalea has relied on her faith in God, her loving family, and her strong support system.“You need a church home because you need that support,” she says. “There were times I thought I could handle everything on my own, but I quickly realized we all need someone to lean on.”Her husband, children, and church family have been a constant source of encouragement. Even her employer has stepped up, sending care packages, calling, texting, and even praying with her through the hardest days.Financial stress has been another battle, as medical bills continue to pile up. “Apply for every financial assistance program you can find,” she advises. “There’s help out there, but you have to look for it.”A Message to All Women: Get Your Mammogram!Azalea’s most important message is simple but urgent: “Please, please, get your mammogram every year.”Skipping a year could mean missing early signs of cancer. “I never felt the lump in my breast, but a routine mammogram caught it. That’s why I continue to do self-exams every month—just in case something changes.”For Black women, breast cancer is often diagnosed at later stages, making early detection and routine screening critical. According to the American Cancer Society, Black women are 40% more likely to die from breast cancer compared to White women, often due to delayed diagnosis and limited access to care.Azalea’s Legacy of StrengthThough she lives with the fear of recurrence, Azalea refuses to let it control her life. She prays daily and holds onto hope. “You don’t always know what’s happening inside your body, so if something feels off—get checked immediately.”Her story is one of courage, faith, and the power of community. She reminds us that health is wealth, and self-care is not selfish—it’s survival. Urban Experience Magazine, in collaboration with MOJO Marketing and PR, proudly celebrates Minority Health Month and the warriors like Azalea Green, who inspire us to prioritize our health, advocate for ourselves, and never give up the fight.Good Eatin’ Southern Eatswww.goodeatinsdsm.com Urban Experience Magazine | 17

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CHOOSING MELavonda Harrell’s Journey to Health, Healing, and EmpowermentBlack Women Taking Control of Their HealthIn celebration of Minority Health Month, Urban Experience Magazine highlights the inspiring story of Lavonda Harrell, a woman who turned personal struggles into a mission to uplift others. Her journey of self-discovery, weight loss, and empowerment reminds us all that choosing yourself is the first step toward true transformation.A Wake-Up Call and a New BeginningAs a young girl, Lavonda never struggled with her weight. But after having children in her twenties, her body and her relationship with food changed. “I wasn’t an overeater because I loved food,” she shares. “I was an emotional eater. Food gave me comfort.” 18 | Our Health, Our Home: A Better Iowa

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For 22 years, Lavonda lived in a cycle of weight gain and emotional eating, until a pivotal moment in 2014 changed everything. “I realized I had spent my life focusing on my children, my husband—everyone but myself. I had no identity outside of being a wife and mother.” When her marriage ended, she was forced to confront herself for the first time. “I had to ask myself a hard question: ‘Lavonda, do YOU want you?’ And the answer was HELL YES!”The Power of Self-ChoiceFor Lavonda, the pain of her divorce became the push she needed. “I looked in the mirror and said, ‘I choose me.’ I knew I couldn’t control other people’s opinions or choices, but I could control myself.”Determined to take back her life, Lavonda joined a gym. At first, she felt intimidated. “I sat in the car, embarrassed to walk in. Society makes us think that gyms are only for fit people, but really, they are a hospital for those seeking health.” She enrolled in a Fit and Healthy program that changed her life. The program provided:• Weight-loss counseling three times a week• A structured meal plan and grocery guide• An emotional wellness component focusing on the triggers behind eating habits• Accountability check-ins with weigh-ins and emotional reflectionThrough this process, Lavonda lost 150 pounds—but more importantly, she gained self-confidence, purpose, and discipline.Turning Pain Into PurposeWhen the gym she relied on closed down, Lavonda didn’t give up. Instead, she took what she had learned and created a business to help others achieve their health goals. “I started teaching workout classes and offering weight-loss coaching. But it wasn’t just about losing weight—it was about building armations, relationships, and self-worth.” Lavonda expanded her passion into the health and wellness industry, promoting supplements, protein shakes, and vitamins that helped her maintain her results. She founded the program ‘I-ADORE ME,’ where she teaches men and women to replace self-doubt with daily armations and belief in themselves.Building a Legacy of Health and WealthWhen the COVID-19 pandemic hit, Lavonda knew she needed to diversify her income. She and her daughter searched for high-quality wellness products and began selling them as an additional stream of income.“COVID taught me that I had to secure my financial future while staying true to my passion. Now, I help others build health and wealth through fitness, nutrition, and self-love.” Today, Lavonda is happily remarried, a proud mother, grandmother, and businesswoman. “My passion is to build women, bodies, beliefs, and bank accounts.”A Message of InspirationLavonda’s journey is proof that transformation begins with a single decision: to choose yourself. “I didn’t realize how good I could feel until I lost the weight, healed, and embraced my power.”Her advice? “If someone else has done it, YOU CAN TOO!” Urban Experience Magazine, in partnership with MOJO Marketing and PR, celebrates Minority Health Month and the incredible individuals like Lavonda Harrell who are changing lives through health, empowerment, and self-love.BUSINESS SPOTLIGHTCorey Dion Lewis is a dedicated community health advocate; founder of Healthy Project Media and the nonprofit My City My Health. rough innovative media, storytelling, and grassroots initiatives, Corey amplifies conversations on public health, health equity, and social impact. His work spans conferences, podcasts, docuseries, and community programs, all aimed at driving meaningful change in health and wellness.hps://www.mycity.health/COREY DION LEWIS Urban Experience Magazine | 19

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April is both Minority Health Month and Sexual Assault Awareness Month—a time to shed light on critical issues that disproportionately impact underrepresented communities. At the forefront of this mission is Courageous Fire, a dedicated advocate who leads two powerful initiatives: Courageous Fire LLC, which focuses on increasing safe spaces for Black women, and Courageous Access, a nonprofit organization providing essential support to Black women survivors of domestic violence and sexual assault, along with their childrenUnderstanding the Scope of Sexual Assault Sexual assault remains a pervasive issue across the nation. According to Courageous Fire, an American is sexually assaulted every 68 seconds, and a child falls victim every nine minutes. Yet only 25 out of every 1,000 perpetrators face accountability. The lack of awareness and societal silence surrounding sexual Empowering Survivors and Raising Awareness on Sexual AssaultBREAKING THE SilenceMinority Health Month20 | Our Health, Our Home: A Better Iowa

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violence allows these crimes to continue, making education and community support vital.Survivors and Their Families: The Ripple EffectOften, the conversation around sexual assault focuses solely on the individuals directly affected, but Courageous Fire emphasizes that the impact extends beyond the survivor. “Children who grow up in a household where sexual assault or domestic violence occurs are survivors themselves,” she explains. “This trauma is part of the soil they grow in, shaping their development and future relationships.”Acknowledging children as survivors ensures that they receive the proper support and resources to heal, rather than becoming part of a cycle of unaddressed trauma.Creating Safe Spaces for HealingOne of the biggest barriers to addressing sexual assault is the stigma and fear surrounding the topic. Courageous Fire breaks down these barriers by creating spaces where survivors feel comfortable sharing their experiences. She hosts community events, such as book readings and discussions in familiar settings like bookstores and coffee shops, allowing individuals to engage in meaningful conversations without intimidation.“These spaces create a sense of connection and belonging,” she says. “When people realize they are not alone, they feel empowered to speak up, seek help, and support others in their healing journeys.”Additionally, as a survivor herself, Courageous Fire openly shares her own experiences to encourage others to do the same. “Healing starts with breaking the silence. When we talk about our experiences, we remove the shame and isolation that so many survivors feel.”Accessing Support and ResourcesFor those in crisis or seeking help, Courageous Fire highlights key resources available to survivors:• RAINN (Rape, Abuse & Incest National Network): Offers a 24/7 confidential hotline at 800-656-4673 and an online chat service at www.rainn.org.• Iowa Coalition Against Sexual Assault (IOWA CASA): A statewide resource hub for survivors, providing access to advocacy and support services (www.iowacasa.org).• NISAA African Family Services: Focuses on culturally specific services for African immigrant and refugee communities in Iowa.• LUNA (Latinas Unidas Por Un Nuevo Amanecer): Provides support for Latino survivors, with Spanish-speaking advocates available (www.lunaiowa.org).• Monsoon Iowa: Offers culturally competent services for Asian and Pacific Islander survivors (www.monsooniowa.org).A Call to ActionSexual assault and domestic violence are not just individual experiences—they are community issues. By fostering open conversations, providing culturally competent resources, and creating safe spaces for healing, Courageous Fire is leading a movement that empowers survivors and dismantles the stigma surrounding these crimes.“When we understand the realities of sexual assault and domestic violence, we can take meaningful steps toward prevention, healing, and justice,” she states.If you or someone you know needs support, reach out to the resources listed above. Healing is possible, and no one has to walk this journey alone.Urban Experience Magazine, in collaboration with MOJO Marketing and PR, proudly celebrates Minority Health Month and recognizes the voices advocating for health equity in our communities. We thank Courageous Fire for her unwavering commitment to working with women impacted by domestic violence and sexual assault and empowering them as she advocates and supports Black women on their journey. Urban Experience Magazine | 21

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THAT'S WHATM U S C A T I N EHER STORY.YOUR STORY.April 30th, 20256:00 PMPresented by Event Solutions Group in collaborationwith Stop HIV Iowa & Muscatine County Public HealthThe Merrill Hotel-MuscatineFREE to the public119 W Mississippi Dr | Muscatine, IA 52761ommunicators.e’reealthyHWCAt MOJO MKTG + PR, wespecialize in culturally competenthealthcare marketing that speaksto the heart of the community.MOJO amplifies impact-drivenhealthcare brands that build trustand create lasting communityimpact—because healthycommunication leads to betterhealth for all!+mMOJO MKTG + PR+mMOJO MKTG + PRHEALTHCARE MARKETING ISN’T ONE-SIZE-FITS-ALLinfo@mojomktg.commojomktg.comCONNECT WITH US!

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ALSO KNOWN ASHigh Blood PressureSYMPTOMSSYMPTOMSHeadache DizzinessChest PainShortnessof BreathExerciseRegularlyPREVENTION MaintainHealthy WeightHYPERTENSIONHYPERTENSION HYPERTENSION HYPERTENSION LimitAlcoholAvoid HighSodiumAvoid FriedFoodsHealthySnacksHypertension is a chronic conditioncharacterized by consistently elevatedblood pressure levels, putting extrastrain on the heart and blood vessels. Urban Experience Magazine | 23Illustration/Layout by:`Joshua Ogunyemi

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BREAKING BARRIERSA Barber’s Mission to Transform Community Health and Financial Literacyby: Sherwin Q Robinson, Sr.Men’s Health24 | Our Health, Our Home: A Better Iowa

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In the heart of the Quad Cities, a barbershop is not just a place for haircuts—it’s a hub for healing, education, and empowerment. Sherwin Q. Robinson Sr., the owner of Short Cut and Styling Barber Shop, has taken his role beyond the barber’s chair, turning his business into a platform for change. Through his organization, A System Within the System, Robinson is addressing key community issues by focusing on the six systems series: economics, education, financial literacy, health and wellness, the judicial system, and real estate.MORE THAN JUST A BARBERSHOPBarbershops have long been cultural cornerstones in Black communities—spaces for camaraderie, mentorship, and open dialogue. But for Robinson, his shop serves a greater purpose. Recognizing the need for practical knowledge and life skills, he created initiatives to empower young people to break cycles of poverty and dysfunction.His approach? Teach youth how to navigate the very systems that have historically disadvantaged them. “We try to work with the youth here in the Quad City area and provide them with the skills and information to help them navigate these systems,” Robinson explains.Financial literacy and health and wellness are the two primary focal points of his program. At Williams Junior High School, students are learning the fundamentals of banking, budgeting, and entrepreneurship. They collectively manage a bank account, starting with $100, and engage in business activities like selling snacks to understand concepts of supply and demand. With guidance from local financial institutions, these students are introduced to the 50-30-20 rule—allocating 50% of income to savings, 30% to personal expenses, and 20% to essential bills. The ultimate goal? To prepare them for financial independence and homeownership while also creating scholarship opportunities upon graduation.HEALTH AND WELLNESS: A COMMUNITY PRIORITYRobinson’s commitment to health education is equally profound. On March 28, his program will bring Emergency Medical Services (EMS) professionals to Williams Junior High to provide CPR training and first aid education, including Stop the Bleed training. This initiative ensures that students understand the importance of both physical and mental wellness.“The health component is to teach them the importance of health and wellness—mental, physical, and spiritual,” says Robinson.But his efforts don’t stop at school. In collaboration with UnityPoint Health, he launched the “Medicine in the Barbershop” initiative, bridging the gap between healthcare professionals and the community. Through this program, local doctors and medical experts visit his barbershop to educate patrons on common health concerns like diabetes, heart disease, and mental health. “We often look at barbershops as just places to get a haircut, but they are also places for real conversation,” Robinson emphasizes. “When I started sharing my own experiences, I found that others opened up too.”A PERSONAL MISSION ROOTED IN TRANSFORMATIONRobinson’s journey to community advocacy stems from his personal experiences. Once struggling with addiction and homelessness, he made a conscious decision to break generational cycles and leave a legacy for his children and the community.“I wanted to build something. I wanted to stop the systemic dysfunctions I saw in my family,” he shares. “Our situations and circumstances don’t have to define us. I had to renew my mind, and now I want to help others do the same.”Through mentorship, financial education, and health initiatives, Robinson is not only reshaping lives but also fostering intergenerational change. His story is a testament to the power of transformation, proving that even within the walls of a barbershop, entire communities can be uplifted.Urban Experience Magazine, in collaboration with MOJO Marketing and PR, proudly celebrates Minority Health Month and recognizes the voices advocating for health equity in our communities. We thank Sherwin Robinson for his unwavering commitment to bridging gaps in health and economic empowerment. Urban Experience Magazine | 25

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THE HOMIESMen’s Health26 | Our Health, Our Home: A Better IowaSAVEby: Corey Lewis26 | Our Health, Our Home: A Better Iowa

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Corey Lewis was talking to the organizer of a health conference where he had learned that Black men die of prostate cancer at twice the rate of White men.The organizer shared that, in fact, one of his friends had just received a diagnosis. “Man, we’ve got to save the homies,” he said.And thus, a new nonprofit was born.Save The Homies aims to get at least 1,000 Black male Iowans signed up for a simple blood test this year to determine if they have prostate cancer. Lewis and his Save the Homies team are aiming to get Black men to check for prostate cancer earlier, and more often.“We want to support as many Black men as possible,” said Lewis, a longtime podcaster in the Des Moines area. “We are currently in the process of developing a full documentary talking about the myths, breaking the stigma by telling the stories of other black men who had prostate cancer, or whose dad died from prostate cancer because they were afraid to go to the doctor.”Black men are almost 70% more likely than white men to develop prostate cancer in their lifetime and twice as likely to die from the disease, says the American Cancer Society in a new report. The reasons why vary, from dietary choices, to a reluctance to visit doctors.In fact, getting men to feel more comfortable going to the doctor is actually one of the key goals of Save The Homies. Lewis said he’s heard from so many men who assume that getting screened for prostate cancer is a big deal, when it’s actually just a blood test. Many Black men and women also distrust the health care system because of experiences when they’ve felt discounted or disrespected.“At the end of the day, all we want men to do is go to their provider and take that first step to get the test,” Lewis said. “It is so preventable that we should not be dying at the rates they are now.”Black men are encouraged to get tested as early as 40, but definitely by 50. If caught early, prostate cancer is highly survivable.Lewis aims for his documentary to eventually air on streaming services like Hulu and Netflix, in addition to YouTube. “They will see something really well-written and created. It is dope, it is our culture, they will watch it, and they will learn something. That’s the goal.”Lewis also plans to involve spouses in his interview. “We tend to listen to Black women.” He’s also reached out to civil rights attorney Ben Crump, who shared Save The Homies with his network.Eventually, Lewis aims to expand Save The Homies to other states, too. “It is wherever God wants to take us.”To learn more go to www.savethehomies.com or call 515-329-4661. Urban Experience Magazine, in collaboration with MOJO Marketing and PR, proudly celebrates Minority Health Month and the warriors like Corey Lewis, who inspire us to prioritize men’s health, advocate for ourselves, and never give up the fight. Urban Experience Magazine | 27

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FATHERHOOD, HEALTH, AND HEALINGHow the Quad Cities Responsible Fatherhood Initiative is Strengthening FamiliesBy: Michael J. CribbsIn many communities, the role of fathers is often overlooked when discussing health and well-being. But for Michael Cribbs, Executive Director of the Quad Cities Responsible Fatherhood Initiative, supporting fathers is a crucial step toward building stronger, healthier families. Through his initiative, Cribbs is providing fathers with the tools, resources, and support they need to be present, engaged, and empowered leaders in their children’s lives. His work is changing the narrative on fatherhood—emphasizing that when fathers thrive, families and communities thrive as well.THE CONNECTION BETWEEN FATHERHOOD AND COMMUNITY HEALTH Research shows that children with actively engaged fathers are 85% more likely to be successful in life. Cribbs believes that fostering positive father-child relationships contributes to mental, emotional, and even physical well-being. “When dads are around and involved, kids do better,” he says. “But that means dads need to be healthy, too.”Unfortunately, many fathers face significant barriers to accessing healthcare, stable employment, and co-parenting resources. Through the Quad Cities Responsible Fatherhood Initiative, Cribbs is tackling these issues head-on by offering workshops, summits, and direct connections to essential services.BREAKING DOWN BARRIERS TO HEALTHCARE One of the key focuses of Cribbs’ work is addressing the healthcare disparities that many fathers face. “We surveyed 100 fathers, and one of the biggest concerns was lack of access to healthcare,” he explains. Many of these men either don’t have insurance, lack reliable transportation, or avoid seeking medical care due to longstanding mistrust of the healthcare system.To combat this, the initiative provides transportation services to help fathers get to medical appointments and screenings. “A lot of fathers Men’s Health28 | Our Health, Our Home: A Better Iowa

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don’t have a means of transportation, and that makes everything—from getting to work to picking up their kids—more stressful,” Cribbs says. “Stress takes a toll on health, and when fathers are stressed, so are their children.”Cribbs also works to shift cultural mindsets around healthcare, especially among men who avoid doctors until a health crisis occurs. “Men don’t like going to the doctor, but we need to change that because we need our dads around,” he urges. “Health is wealth, and if you’re not healthy, nothing else matters.”STRENGTHENING COPARENTING AND FAMILY STABILITY Beyond healthcare, another major focus of the initiative is improving co-parenting relationships. “Co-parenting is one of the toughest challenges young fathers face,” Cribbs explains. He works closely with fathers and families to navigate parenting dynamics, emphasizing that healthy co-parenting leads to more stability for children.Through workshops and peer mentoring, fathers learn communication strategies, conflict resolution skills, and how to put their children’s needs first. “We help fathers see their value and teach them that sometimes they have to take the higher road for the sake of their kids,” says Cribbs.THE THREE PILLARS OF BETTER HEALTH Cribbs offers a simple yet powerful approach to improving health in the community: Awareness, Action, and Access.Awareness – Educating fathers on family health history, common medical issues, and the importance of preventative care.Action – Encouraging men to take proactive steps toward better health, from regular checkups to healthier lifestyle choices.Access – Partnering with healthcare providers and organizations to remove barriers and ensure that fathers and families can get the care they need.A CALL TO ACTION FOR MINORITY HEALTH MONTH As Urban Experience Magazine highlights Minority Health Month, Cribbs urges fathers and families to take control of their health. “We invest in our cars, our clothes, and so many other things, but we often neglect our own well-being,” he says. “Your health isn’t just about you—it’s about your kids, your family, and your future.”Through the Quad Cities Responsible Fatherhood Initiative, Cribbs is proving that empowering fathers isn’t just about parenting—it’s about transforming entire communities. By ensuring that fathers have the knowledge, support, and resources to stay healthy, he is paving the way for a brighter future for families in the Quad Cities and beyond.For more information on the Quad Cities Responsible Fatherhood Initiative and how to get involved, email cribbs@thelincolncenterqc.org Urban Experience Magazine, in collaboration with MOJO Marketing and PR, proudly celebrates Minority Health Month and recognizes the Quad Cities Responsible Fatherhood Initiative supporting fathers in our communities. We thank Michael Cribbs for his unwavering commitment to fathers. Urban Experience Magazine | 29

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Sexual Health Awareness & Advocacy30 | Our Health, Our Home: A Better Iowa

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In honor of Minority Health Month, Urban Experience Magazine brings you an in-depth conversation with Laura Rodriguez, Program Coordinator for the Iowa Harm Reduction Coalition (IHRC) in the Quad Cities. Passionate and dedicated, Laura sheds light on the vital role harm reduction plays in addressing health disparities and creating a culture of care, empowerment, and justice.Redefining Harm ReductionFor many, harm reduction is a concept unfamiliar or misunderstood. But for Laura, it’s a way of life. “Harm reduction is about making the best of a risky situation,” she explains. “Just like seatbelts and trac laws make driving safer, harm reduction strategies minimize the health, social, and legal risks associated with certain behaviors, particularly drug use.”Through her work, Laura helps provide free naloxone, safer-use supplies, and support services that ultimately save lives. “It’s not about judgment,” she emphasizes. “It’s about empowerment. People deserve access to resources that allow them to make safer choices.”A Personal Health JourneyBeyond her advocacy, Laura’s own health journey is a testament to harm reduction in action. “I was recently diagnosed with diabetes, and I don’t have health insurance,” she shares. “It was a wake-up call. Instead of shaming myself, I approached my health through harm reduction. I made small, manageable changes—choosing sugar-free versions of my favorite foods, increasing my physical activity in realistic ways like parking farther from the store or taking the stairs. Over time, these adjustments added up, and I’ve lost 70 pounds.”Her experience highlights an essential truth: radical, immediate change isn’t always sustainable. “Harm reduction meets people where they are,” she says. “It allows them to make positive changes at their own pace.”Health Equity: A Matter of JusticeLaura’s passion for harm reduction is deeply rooted in social justice. “The modern harm reduction movement has its roots in the early HIV epidemic, when marginalized communities—Black, brown, LGBTQ+, and impoverished people—were denied access to care,” she explains. “People had to step in and take care of each other.”She sees a direct link between health disparities and systemic discrimination. “The war on drugs was a war on people—particularly Black, brown, and Indigenous communities,” she states. “Mass incarceration stole a generation of parents, and we’re still seeing the ripple effects. Ensuring these communities have access to harm reduction services isn’t just important—it’s necessary.”Fighting Shame with CompassionA significant barrier to harm reduction is shame. “Shame and stigma drive people into isolation, making it harder for them to seek help,” Laura explains. “We need to break the cycle. People are not their worst mistakes. They deserve kindness, support, and the opportunity to heal.”She recalls a recent success story: “A client of mine has been substance-free for nearly a year. They thanked me for simply being there, for meeting them with compassion instead of judgment. That’s the power of harm reduction.”Moving ForwardLaura’s message is clear: harm reduction isn’t about enabling—it’s about empowering. “Whether it’s drug use, nutrition, or mental health, we must approach people with care. Small, sustainable changes lead to lasting impact.”As we celebrate Minority Health Month, her work reminds us that health is a right, not a privilege. Breaking barriers means meeting people where they are—offering tools, resources, and most importantly, hope.Urban Experience Magazine, in collaboration with MOJO Marketing and PR, proudly celebrates Minority Health Month and recognizes the voices advocating for health equity in our communities. We thank Laura Rodriguez for her unwavering commitment to harm reduction and social justice.A Conversation on Harm Reduction with Laura RodriguezBreaking Barriers: Urban Experience Magazine | 31

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By: Louis M. Katz MDTHE PROBLEM.Congenital syphilis is a serious sexually transmitted infection (STI) spread from a pregnant woman to her developing baby. It was nearly eliminated in the US decades ago but has made a dramatic return. The increase reflects limited awareness of the problem, inequitable access to healthcare with missed screening opportunities and inadequate public health resources for case-finding. WHAT IS CONGENITAL SYPHILIS? Syphilis is an infection caused by the bacteria Treponema pallidum. When not found and treated during pregnancy, the germ can infect the developing fetus with devastating outcomes that include stillbirth, premature birth, low birth weight, neonatal death, and lifelong severe disabilities.Infected infants may have any of many signs and symptoms depending on when mom was infected and whether appropriate treatment was given. Early congenital syphilis (apparent within the first two years of life) may have rash, fever, an enlarged liver or spleen, jaundice (yellow skin and eyes), low blood counts, and bone or neurological abnormalities. Late congenital syphilis (after two years) can result in developmental delays, blindness, hearing loss, dental deformities and skeletal damage. SKYROCKETING RATES IN THE US In 2012 fewer than 400 cases were reported nationwide. By 2022, that number had surged past 3,700, a tenfold increase. The rise is driven by increased syphilis among adults, barriers to prenatal care, and gaps in public health interventions. I am now seeing more cases of syphilis in a month than I saw in 6-12 months between 2000 and 2010.These are the main risks contributing to the rising rates of congenital syphilis in the United States:Sexual Health Awareness & AdvocacyEPIDEMICCONGENITALSYPHILISIN THE U.S.32 | Our Health, Our Home: A Better Iowa

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Increase in adult syphilis cases: Early syphilis cases among reproductive-age adults increase the risk of congenital syphilis. The CDC reports large increases of early syphilis among young adults—the stage most often transmitted from mother to baby.Inadequate prenatal care: Mothers with syphilis infect their babies when getting no or inadequate prenatal care due to lack of access, financial barriers, or the stigma associated with STIs. Women and their babies experiencing homelessness and substance use are most affected.Health disparities: Congenital syphilis is much more common in marginalized populations, including racial and ethnic minorities. Poverty, inadequate healthcare infrastructure, and other systemic inequities, contribute to this.Missed or delayed diagnosis & treatment: Some healthcare providers do not screen properly for syphilis during pregnancy. Delays in receiving test results or barriers to treatment (such as penicillin shortages) can allow the infection to progress.Substance use epidemic: Ongoing opioid and methamphetamine crises contribute to higher rates of syphilis transmission, especially among women engaged in sex for drugs, money and/or shelter.A SOCIETAL DISASTER: Beyond the individual babies injured, the long-term burden on healthcare systems and society is large. Children with congenital syphilis may require lifelong medical care, special education services, and social support due to developmental delays and disabilities. Treating a single case, including hospitalization, testing, and long-term care, can cost thousands of dollars. Preventing congenital syphilis with timely maternal testing and treatment is far more effective than managing lifelong complications.PREVENTION Efforts to reduce congenital syphilis focus on STI prevention, early detection, and timely treatment. Public health agencies, healthcare providers, and community organizations all play crucial roles in addressing these.ROUTINE SYPHILIS SCREENING DURING PREGNANCY: The CDC recommends syphilis testing at the first prenatal visit for all pregnant individuals. For those at higher risk, additional testing should occur between the 6th and 9th month and at delivery.TIMELY & ADEQUATE TREATMENT: Penicillin remains the only recommended treatment for syphilis during pregnancy. Ensuring the correct dose is received on time is essential to prevent fetal infection. Addressing barriers to penicillin access and administration is a public health priority.UNIVERSAL ACCESS TO PRENATAL CARE: Expanding access to affordable, high-quality prenatal care will significantly reduce congenital syphilis rates. Policies that support Medicaid expansion, telehealth services, and community-based prenatal programs can improve healthcare access equity.TARGETED PUBLIC HEALTH INTERVENTIONS: Public health agencies must implement targeted interventions to reach high-risk populations. This includes outreach programs for individuals experiencing the risks listed above.ENHANCED PUBLIC AWARENESS AND EDUCATION: Educating the public and healthcare providers about the increasing rates of syphilis and the importance of correct prenatal screening will improve early detection.STRENGTHENING DISEASE SURVEILLANCE & REPORTING: Improving surveillance systems to track all syphilis cases and their contacts, including pregnant women and infants, will identify trends and direct the use of limited resources more effectively. Urban Experience Magazine | 33

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POLICY SOLUTIONS: Various federal and state initiatives have been launched and CDC has increased funding for STI prevention programs, emphasizing syphilis screening and treatment for pregnant women. Some states have implemented mandatory syphilis screening laws, requiring multiple tests during pregnancy. The fate of such programs over time is an open question. Addressing congenital syphilis requires sustained investment and collaboration between healthcare providers, policymakers, community organizations and individuals. Limited funding, workforce shortages in public health, and ongoing disparities in healthcare access are barriers.CONCLUSION: Congenital syphilis is a preventable epidemic in the United States. The increase in cases is due to well recognized gaps in STI prevention, prenatal care, and public health interventions. Prevention requires a coordinated effort across these sectors, addressing both medical and social solutions. Expanded syphilis screening and timely treatment, improved access to prenatal care, and addressing social determinants of health will protect the health of our children. Further reading: About Congenital Syphilis at https://www.cdc.gov/syphilis/about/about-congenital-syphilis.html.Dr. Katz is an infectious diseases specialist and Medical Director of the Scott County Health Department. He is responsible for sexually transmitted infection clinics at the department and at the Project of the Quad Cities.Urban Experience Magazine, in collaboration with MOJO Marketing and PR, proudly celebrates Minority Health Month and dedicated healthcare professionals like Dr. Louis M. Katz. We’re grateful for his expertise and commitment to advancing sexual health awareness.BUSINESS SPOTLIGHTAt Bradley Consulting, we are commied to empowering individuals, organizations, and communities through innovative and impactful solutions. We specialize in building bridges—connecting people, ideas, and resources to create meaningful and lasting change. With expertise in education, public speaking, publication, college preparedness, and professional development, we provide tailored consulting services designed to meet the unique needs of our clients.34 | Our Health, Our Home: A Better Iowa

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Let’s be real…how many times have you engaged in risky sex? In a recent interview with the Breakfast Club, Tamar Braxton discloses that she takes PrEP even though she is celibate. “I’m not saying that I’m out here raw dogging, but you know things happen,” she says. Sis says she would rather stay ready so she doesn’t have to get ready. Black cis and trans women are much more likely to contract HIV than women of other races. 1 in 48 Black women will be diagnosed with HIV in their lifetime. In the most recent data surveillance revealed by the CDC, women accounted for 18% of new HIV diagnoses in the United States. Black women accounted for 50% of new HIV diagnoses among people assigned female at birth. Pre-Exposure Prophylaxis (PrEP) is an FDA -approved daily pill that reduces the risk of getting HIV. It is safe and effective in preventing HIV by 90%. Only 14% of Black people are on PrEP, which demonstrates that Black communities, especially Black women, are not getting crucial information about this trusted and effective HIV prevention tool.Reducing the stigma“What was it.. a scare? Because what made you..”“No, it wasn’t a scare. You know, the fact of the matter is that the outside has changed, and people are not monogamous at all. Everybody has the same boyfriend and what’s scary for me is actually contracting something because I am looking and I am dating.”As this interview highlights, the landscape of dating and sexual preferences has undergone a significant shift. People are more open about their sexual appetites and pleasures, and even in seemingly monogamous relationships, partners may not always be faithful. This evolving sexual norm underscores the importance of PrEP, a tool that can protect you from HIV in a world where sexual behaviors are more diverse and less predictable.In addition, HIV does not have a face. If you are HIV-negative and eligible for PrEP, you should consider taking it. The concept is similar to birth control. You don’t take birth control after you have a baby, right? The same would apply here. Anyone who is HIV-negative is eligible despite race or sexual preference. So yes, the heterosexual man you’re dating could be on PrEP as a preference. Yes, Tamar and others who are celibate or abstaining from sex may choose to take PrEP. Yes, those who enjoy sex and may not always use a condom might want to consider PrEP. Taking PrEP is a normal and responsible choice in today’s diverse sexual landscape.By Dr. Cyntoria Meaderds, DBH“You talk about HIV prevention, but you’re celibate! So you’re taking the HIV prevention pill that early?!- DJ Envy“ANY TIME…ANY PLACE…”Staying Protected with PrEP Urban Experience Magazine | 35

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THEN v. NOWSTDs/STIs Chlamydia - often silent,easily treated Gonorrhea - rising again,especially in teens HPV - super common sometypes linked to cancer Herpes - lifelong butmanageable Syphilis - if left untreated,can lead to HIV/AIDSTHE MORE YOU KNOW,THEMORE POWER YOU HAVE! Know your status-testing is key Talk with your partner(s)- don't assume Ask and be real about your pastPROTECT YOURSELFLIKE IT'S 1999!WHAT YOU GOTTA KNOW!WHAT ARE STDs/STIs?Sexually TransmittedDiseases/Infections are spreadthrough sexual contact- nomatter your age, sexualorientation, or statusMost Common STDs/STIsSTDs/STIs STDs/STIs STDs/STIs 90sSTDs like chlamydia,syphilis, and gonorrheaat all-time highsTESTINGLimited access,high stigmaATTITUDESMuch fear, little talk2020sSTI rates still high,especially amongyoung peopleSimple Options,Better ConvosMore open but stillwork to doIllustration/Layout by:`Joshua Ogunyemi

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My name is Pamela Thomas, and I am the Community Health Interventionist at the Scott County Health Department. I have over 15 years of experience as a Medical Assistant, primarily working in pediatrics and behavioral health. Nearly three years ago, I transitioned into public health to focus on community outreach, education, and advocacy. My passion lies in helping individuals understand their health and empowering them to advocate for their well-being. Through my work, I strive to connect people with essential resources, promote health education, and support underserved communities. Involvement with HIV Advocacy:As a Community Health Interventionist, I play a vital role in HIV advocacy and community health by providing education, outreach, and testing services. I work to increase awareness about HIV prevention, including PrEP education, and ensure that individuals have access to testing and treatment resources. Through partnerships with local organizations, faith-based groups, and community events, I help break down barriers to care and reduce stigma surrounding HIV. My efforts focus on empowering individuals to take charge of their health, promoting safer practices, and connecting at-risk populations to essential support services. Spotlight: Pamela ThomasIn the fight against HIV, one voice is making waves in the urban community, challenging stigma and pushing for open conversations about sexual health. Madison Sconiers, a Des Moines native and dedicated advocate, is at the forefront of this movement. As a member of the Prevention Advocacy Board for Primary Healthcare’s “The Project,” Madison is working tirelessly to educate and empower her community, particularly minority groups that have historically faced barriers to healthcare.Scan QR code to listen to full episode.Madison Sconiers on HIV Awareness and Advocacy.THEN v. NOWSTDs/STIs Chlamydia - often silent,easily treated Gonorrhea - rising again,especially in teens HPV - super common sometypes linked to cancer Herpes - lifelong butmanageable Syphilis - if left untreated,can lead to HIV/AIDSTHE MORE YOU KNOW,THEMORE POWER YOU HAVE! Know your status-testing is key Talk with your partner(s)- don't assume Ask and be real about your pastPROTECT YOURSELFLIKE IT'S 1999!WHAT YOU GOTTA KNOW!WHAT ARE STDs/STIs?Sexually TransmittedDiseases/Infections are spreadthrough sexual contact- nomatter your age, sexualorientation, or statusMost Common STDs/STIsSTDs/STIs STDs/STIs STDs/STIs 90sSTDs like chlamydia,syphilis, and gonorrheaat all-time highsTESTINGLimited access,high stigmaATTITUDESMuch fear, little talk2020sSTI rates still high,especially amongyoung peopleSimple Options,Better ConvosMore open but stillwork to do Urban Experience Magazine | 37

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BUSINESS SPOTLIGHTwww.braggbbq.comwww.cinemapixelmedia.com38 | Our Health, Our Home: A Better Iowa

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Established in 2022, All Voices DSM’s founding goal is to highlight the many voices and wonders of Des Moines through interviews, events, and wide-reaching community outlets. In 2023, All Voices DSM produced Mic Revolution, an event centered around mental health and music promotion, and hosted a benefit concert for the Central Iowa Shelter and Services (CISS). Over the past two years, All Voices DSM has interviewed influential community leaders such as American politician Izaah Knox, Senator for the 17th District of the Iowa Senate; National Endowment for the Arts profiled artist, poet, and educator Emmett Phillips; many local, diverse, small business owners and Iowa-based mental health providers. All Voices DSM strives to shine a light, open an ear, and embrace Iowa’s many different cultures, faces, and voices. In 2024, All Voices DSM will work alongside Iowa Juneteenth Observance to provide an inclusive platform for regional and international BIPOC artists based in Iowa to spotlight their community impact work, express themselves, and honor BIPOC history. All Voices DSMAko Abdul-SamadBUSINESS SPOTLIGHTwww.cvonline.us

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Advocacy & Policy

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is not only an individual concern—it’s a community issue Sir. Tests Allot, said “My anaconda don’t want none, unless you get tested, son!” Sexual health is a vital component of overall well-being, yet it is often overlooked or stigmatized. “But, Sir. Tests Allot, why should we care?” Knowing your status for HIV, syphilis, and other sexually transmitted infections (STIs) is crucial in taking control of your overall health. Regular testing not only helps in early detection and treatment but also prevents the spread to others. Many STIs, including HIV, are manageable with proper care, but when left untreated can lead to severe health complications.Advocacy plays a key role in promoting sexual health awareness. By openly discussing STIs, testing, and prevention in your local communities and personal networks, you help break down stigma and encourage others to prioritize their health. Sharing accurate information, supporting access to testing resources, and fostering a judgment-free environment can empower individuals to take proactive steps toward their sexual health.From the empowering words of the I.A. Twins, “Wait ‘til you see my tests.” Are you talking about it? Remember, sexual health is not just an individual concern—it’s a community issue. By knowing your status, advocating for education, and supporting others, you contribute to a healthier, more informed Iowa. Together, we can normalize conversations about sexual health and ensure it remains an integral part of whole health.-- Madison Sconiers, Primary Health Care - The Project, Prevention Advisory Board MemberBut, Sir. Tests Allot, Why should we care?SEXUALHEALTH Urban Experience Magazine | 41

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BUSINESS SPOTLIGHTwww.icadv.orgLIFESAVERSJOIN A COMMUNITY OFCENTRAL IOWA HEART WALKDMACC AnkenyCampusSaturday, May 178:00 a.m.9 out of 10 people who have acardiac arrest outside of thehospital die. We can changethis. Every walker who joins,every dollar donated, meansmore people trained inlifesaving CPR, more research,and more lifesaving momentsfor everyone. Register Today!www.dsmheartwalk.org42 | Our Health, Our Home: A Better Iowa

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PLEDGESto celebrate Minority Health Month“My name is Jennifer Craft, Director of Muscatine County Public Health and I pledge to encourage, model and provide space for physical activity throughout the workday.”JENNIFER CRAFT“For Minority Wellness, I commit to protecting my peace and well-being by surrounding myself with those who uplift and respect me. I will prioritize spaces that nurture growth, health, and empowerment.” RANIESE MUSKEYVALLEY“To celebrate Minority Health month, I pledge to keep positivity, love and peace of mind in the center of my thoughts and actions as I continue to move in the right direction of my life.” SHAY TATEMOORE“Everyone has a right to good health and well-being. I pledge to continue to leverage our resources to create an inclusive culture of healthy Iowans.” MIKE GUSTER President of Metrocom NAACP“Nami’s Reflections – I commit to prioritizing my health this month by increasing my workouts and focusing on overall well-being.” MICHELLE MENDOZA“Hi my name is Lydia Amissah-Harris and I am the health chair for the Metrocom NAACP in Davenport, IA. During Minority Health Month I am taking a stand to help end health disparities. I’m encouraging all women to have a doula during their pregnancy to help reduce maternal mortality.”LYDIA AMISSAHHARRIS“J&M Empowerminds Financial Solutions – I commit to strengthening my mind, body, and soul, knowing that mental resilience is key to growth.” RASHEDA JAMISON“I pledge to prioritize my mental health by making time for rest, reflection, and renewal. I will recognize that taking care of my mind is an act of strength and self-love.” DR. DANIEL DAVIS Urban Experience Magazine | 43

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THE PROJECT OF THE QUAD CITIES AIM TO REDUCE STIGMA AND TRANSCEND BARRIERSThe ability for people to self-test for HIV is an important priority not only for TPQC, but for HIV prevention and advocacy groups throughout the world.The new self-tests for HIV are considered 99.9 percent accurate, says Joaquin Bueno Diaz, prevention manager for TPQC. They’re taken using a simple mouth swab, and results are available within 20 minutes.They’re available to anyone in TPQC’s 22-county service area along the Iowa/Illinois border and in the Quad Cities.You can order these test kits discreetly through an online form that went up in June, at tpqc.org/hiv-self-testing. And if you need emotional support while checking your HIV status, you can order a telehealth appointment with The Project at the same time.And, it’s all available in both English and Spanish.HIV SELFTESTING ALSO KNOWN AS HIVST, IS A WORLDWIDE INITIATIVE The ability for people to self-test for HIV, also known as HIV/ST, is an important priority not only for TPQC, but for HIV prevention and advocacy groups throughout the world.Efforts are already underway for years to distribute self-tests for HIV to India, which is the country with the world’s third-highest rate of HIV transmission, writes Path (Promote A Healthier Planet).“HIV self-testing has the potential to help people overcome barriers such as stigma, a lack of confidentiality, discrimination, and access to testing facilities,” writes Isha Jain. “Additionally, when self-testing patients encourage their partners, family, or friends to do the same, it can have a cascade effect, increasing testing, early detection, and follow-up treatment for more people.”While some experts question whether self-testing for HIV leads to better treatment, other factors may affect HIV/ST success in America. For by: Christine Hawes Nov 9, 2023SELFTEST KITS FOR HIV AVA I L A B L E ONLINECare Management44 | Our Health, Our Home: A Better Iowa

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The Project Of The Quad Cities / Jaycees Of The Quad Citiesexample, while other countries have several different HIV self-tests to choose from, only one HIV self-test is approved by the Food and Drug Administration.The renewed focus on self-testing comes following a slowdown in HIV testing during the COVID pandemic, says the Centers for Disease Control. Overall, testing for HIV dropped 32 percent between the first and second quarters of 2020, and only rebounded to pre-pandemic levels a year later.Testing and treatment among People of Color continues to lag behind Whites, the CDC also says.RURAL COMMUNITIES, PEOPLE OF COLOR CAN BENEFIT THE MOST FROM HIV SELFTESTING “TPQC’s focus on self-testing for HIV is part of the nonprofit’s goal of reaching more people from more diverse communities,” Bueno Diaz says.“People who live in more rural areas along the Iowa/Illinois border, who have limited transportation, may find the self-test kits especially helpful,” he adds. They can now get on top of their own HIV status without having to travel to The Project’s headquarters in Moline.In addition, people who speak Spanish now have a way to check their HIV status without having to tackle a language barrier that often exists with English-only practitioners. And People of Color who may not feel comfortable walking into a clinic in their hometown now have another alternative to check their status.“We’re also trying to reduce the stigma or fear of having to come into our clinic, or any other clinic, and be seen by other people,” he said. “Or, by going into a clinic that is (perceived to be) predominantly for the LGBTQ+ community.”Other groups nationwide are also trying to reach underserved communities through self-testing kits. The Human Rights Campaign this summer announced a collaboration with CVS to distribute 3,000 self-test kits for HIV nationwide.TESTING FOR HIV IS KEY TO OBTAINING LIFESAVING MEDICATION HIV rates have dropped considerably in recent years, with advances in medication and testing. Early detection has enabled more people with HIV to have an “undetectable” viral load — which also means they are no longer at risk for transmitting the infection to another.New infections in 2021 were 12 percent less overall than in 2017, says a May 2023 CDC report. But that same report says those gains were not experienced the same across different demographics.New cases of HIV among gay and bisexual men, the demographic hardest hit by HIV, dropped almost half as much among those who identify as Black, than those who identify as White.Almost 80 percent of White people eligible to take PrEP, the daily pill that can render HIV undetectable, received the medication in 2021. By contrast, only 21 percent of eligible Hispanic people received the medication, and only 11 percent of eligible Black people received PrEP.“We really want to eliminate barriers, so that people can get tested, know their results, and stay healthy.” - TPQCTo order a self-test kit, head to tpqc.org/hiv-self-testing, or click on the QR code at the top of this article. For additional questions, reach out to TPQC at 309-762-5433 or tyler@tpqc.org.Tyler Mitchell, marketing and communication manager, and Viminda Shafer, community relations and development coordinator of the Project of the Quad Cities, attended Taco ‘Bout A Nonprofit Fair in August of 2023. Urban Experience Magazine | 45

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The Community AIDS Assistance Project (CAAP) is a non-profit organization made up of volunteer board members dedicated to HIV prevention through education and supporting individuals living with HIV.Working closely with Cedar AIDS Support System (CASS), a part of Cedar Valley Hospice, CAAP provides funds to those living with HIV when other entities cannot. For example, CAAP has provided groceries, paid utility bills, covered medical co-pays, offered gas cards, assisted with a bed bug infestation, and recently, furnished an entire apartment for a client in need.One client shared messages of gratitude after receiving essential household items such as a dining table and chairs, a recliner, a futon, pots and pans, and basic supplies like toilet paper, cleaning products, bedding, curtains, and more. Imagine moving into a new home and having a group of strangers arrive with nearly everything you need! With a call for help on their Facebook page, CAAP board members and the community came together to make it happen. The client wrote: “I’ve just been sitting here in amazement. Thank you so much, and you are always welcome to come by anytime! I am so comfortable here and really enjoy everything! It feels like home.”Another client recently expressed their appreciation, saying, “If it weren’t for your group helping out CASS, I don’t know where I would be!” They added, “You all have treated me just like you’ve known me forever and don’t look at me any differently—just as a person who deserves love and respect.”By Jenni Bear, Vice President, CAAP BoardCOMMUNITY AIDS ASSISTANCE PROJECT CAAPWHO ARE THEY, WHAT DO THEY DO, AND HOW DO THEY HELP? Care Management46 | Our Health, Our Home: A Better Iowa

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This spirit of compassion and dignity is at the heart of CAAP. The organization firmly believes that everyone deserves to be treated with love, respect, and grace. As they say, “We all put our pants on the same way. You are not defined by your status or diagnosis.”Due to the stigma surrounding HIV and the need for strict confidentiality, the majority of individuals CAAP serves remain anonymous. While the organization may never meet these individuals or know their names, it remains committed to providing essential support and resources to improve their quality of life. CAAP’s mission is to ensure that no one faces the challenges of living with HIV alone, even if they remain unseen.In 2022, 88% of Black individuals with HIV were diagnosed, 64% were linked to care, and 53% achieved viral suppression. In comparison, 89% of White individuals with HIV were diagnosed, 70% were linked to care, and 63% achieved viral suppression. These statistics highlight the ongoing need for targeted interventions and support services within communities of color to address the unique challenges they face in the fight against HIV.Organizations like CAAP play a crucial role in providing resources, education, and support to those affected by HIV, particularly within marginalized communities. By offering financial assistance, organizing awareness events, and collaborating with community partners, CAAP strives to reduce the impact of HIV and improve the quality of life for individuals living with the virus.CAAP raises funds throughout the year, with their biggest fundraiser being the annual gala in the fall. This exciting event features live and silent auctions, entertainment, drag performances, information sharing, and is the primary source of funding for the organization.In addition to the gala, CAAP actively participates in community events such as Cedar Valley PrideFest, LGBTQ Youth Prom, and other outreach programs to raise awareness and support.For more information about CAAP’s initiatives, to donate or to get involved, visit their ocial website at https://www.caapbenefit.org/. Urban Experience Magazine | 47

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Health Department48 | Our Health, Our Home: A Better Iowa

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Public Health Center1407 Independence Avenue • 5th FloorWaterloo, IA 50703CLINIC HOURSMonday - Thursday8:30-11:30 a.m. & 1:00-4:00 p.m.Appointments and Walk-Ins:Call (319) 291-2413Learn more at bhcpublichealth.org.You have tested positive for HIV or another sexually transmitted infection (STI), and you are scared. That is natural. Next, your provider will ask you to help notify any sexual partners you may have had. This may also sound scary, but it’s not. The staff at Black Hawk County Public Health (BHCPH) just wants the best for you and your partner(s).Many people don’t realize that HIV and other STIs are required by Iowa law to be reported to public health. This is so we can offer treatment and testing to anyone who may be at risk. If you test positive, you will be asked to name your sexual partner by your medical provider or one of the Disease Prevention Specialists at BHCPH Sexual Health Clinic. This is called Partner Services. We are here to help by offering free, confidential, and judgment-free services for you and your partner. You can notify your partner on your own, but if you don’t feel comfortable doing it, the Disease Prevention Specialists at BHCPH can notify them for you. Don’t worry! They can be contacted about their potential risk to infection without being told who referred them. They will be offered free risk-reduction counseling, testing, and treatment as well.Did you know that Black Hawk County has one of the highest rates of Chlamydia in the state?* This is why partner services is an important aspect of public health. It helps to identify people in the community who may need testing, provide access to free treatment, and prevent further disease transmission. If you have been putting off getting tested, there is no need to delay. Talk to your medical provider, or come see us! The clinic is located at Black Hawk County Public Health, 1407 Independence Avenue, 5th Floor. The clinic is open from 8:30-11:30 a.m. and 1-4 p.m. on Monday-Thursday. Walk-ins are available, but appointments are encouraged. All testing and treatment services are kept private, including referral services for HIV prevention. Free condoms and lubricants are available at the front desk regardless of receiving clinic services. By getting testing and helping us contact the people who may also be at risk, you are doing part to improve the sexual health of our community. To find out more about sexual health resources provided by Black Hawk County Public Health go to: bhcpublichealth.org/sexual-health-resources. We are here for you! *source: 2023 Iowa Disease Surveillance Data for Chlamydia, Gonorrhea, And Syphilis Urban Experience Magazine | 49

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THE POWER OF EXPRESSIONHow Art and Community HealBy: DeVaughn ReeceCommunity & Engagement50 | Our Health, Our Home: A Better Iowa

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In the heart of St. Louis, where challenges in economic stability and community engagement persist, one man is using art and entrepreneurship to inspire transformation. DeVaughn Reece, known as “IBENAGOD” and self-proclaimed “Expert of Black Male Expression,” has dedicated his life to fostering creativity, wellness, and financial independence within his community. Through his organization, Thuritis, Inc., Reece not only uplifts artists but also builds a network of support, bridging gaps in health, economic empowerment, and cultural expression.ART AS A HEALING TOOL“Art is healing,” Reece passionately states. He believes that creativity is not just about self-expression but also a vital source of mental, emotional, and even physical well-being. Whether through poetry, music, or visual art, creative expression provides a cathartic release that can transform pain into power.Reece highlights how music, for example, can be therapeutic. “You wake up in the morning, and a song can set your mood for the day,” he explains. “For people battling illness, music can be the medicine they need, sometimes even helping patients in comas respond.” His work echoes broader research showing that artistic expression can lower stress, enhance cognitive function, and even promote healing at the neurological level.COMMUNITY SUPPORT AND MENTAL WELLNESSBeyond the arts, Reece’s movement is about building safe spaces where open dialogue can flourish. He facilitates discussions on relationships, fatherhood, grief, and mental health, allowing people to share their experiences without fear of judgment. “People need someone to talk to, someone they trust,” he says. “Many in our community don’t have access to professional mental health care, so these conversations become a crucial form of support.”His grassroots approach reflects an urgent need for mental wellness initiatives, particularly in Black communities where stigma and systemic barriers often prevent individuals from seeking traditional therapy. By offering a place where people can share their struggles and receive encouragement, Reece is filling a crucial gap in health and wellness services.ECONOMIC EMPOWERMENT AS A PATH TO BETTER HEALTHThrough Thuritis, Inc., Reece also focuses on economic empowerment, recognizing that financial stability is directly linked to overall well-being. His organization helps local businesses grow by connecting entrepreneurs with the resources and clientele they need to thrive. “We circulate the dollar within the community,” he says, emphasizing that economic strength leads to healthier, more self-sustaining neighborhoods.Studies consistently show that economic stability is a key social determinant of health—people with financial security are more likely to have access to quality healthcare, nutritious food, and stable living conditions. By fostering business development and artistic entrepreneurship, Reece is not only creating wealth but also promoting a healthier future for his community.THE BIGGER PICTURE: BUILDING A HEALTHIER FUTUREReece’s work embodies a holistic approach to health—one that recognizes the interconnectedness of mental, emotional, and financial well-being. Through art, safe spaces, and economic empowerment, he is proving that health is more than just physical; it’s about the strength of the mind, the stability of the community, and the opportunities available to individuals.As Urban Experience Magazine celebrates Minority Health Month, stories like Reece’s remind us of the transformative power of creativity and community. His message is clear: healing starts from within, but it thrives when nurtured by those around us. Whether through artistic expression, open conversations, or economic support, we all have a role to play in building healthier, more resilient communities.Urban Experience Magazine, in collaboration with MOJO Marketing and PR, proudly celebrates Minority Health Month and recognizes the voices advocating for health equity in our communities. We thank DeVaughn Reece for his unwavering commitment to bridging gaps in health, economic empowerment, and cultural expression. Urban Experience Magazine | 51

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FINANCIAL HEALTHThe Key to Overall WellnessBy: Rasheda JamisonCommunity & Engagement52 | Our Health, Our Home: A Better Iowa

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When we think about health, our minds often go straight to physical wellness—exercise, diet, and medical care. However, one of the most overlooked aspects of well-being is financial health. Financial stress is a silent but powerful force that affects mental, emotional, and even physical health. Rasheda Jamison, founder of J&M Empire – Empowerminds Financial Solutions, is on a mission to help individuals and families break free from financial stress and build long-term stability.The Link Between Financial and Physical Health“Financial stress is one of the biggest silent killers of mental health,” Jameson states. “When you’re constantly worrying about bills, debt, and making ends meet, that stress doesn’t just affect your bank account, it affects your body.” Chronic financial worries can lead to anxiety, depression, sleep disorders, and even stress-related illnesses such as high blood pressure and heart disease.Jamison emphasizes that financial literacy is about more than just money, it’s about peace of mind. “When you have a plan for your finances, you sleep better, you focus better, and you have the freedom to live instead of just survive.”Empowering Through Education: The E3 MethodAt Empowerminds Financial Solutions, Jamison uses what she calls the E3 Method: Empower, Educate, Elevate.Empower – The first step is shifting the mindset from survival mode to wealth-building mode. Before discussing numbers, Jamison helps clients break free from limiting beliefs about money and develop a success-oriented perspective.Educate – This phase involves learning financial fundamentals—budgeting, credit repair, debt reduction, and smart investing. Jamison also provides homeownership education for those ready to take that step.Elevate – The final phase is about creating long-term financial strategies for wealth-building, retirement planning, and leaving a financial legacy for future generations.From Financial Survival to StabilityJamison’s approach is practical, and results driven. She works closely with clients to develop budgets, automate finances, and set financial goals. “I ask people, ‘If I gave you $1,000 today, what would you do with it?’ Then I ask, ‘If money wasn’t an issue, what would you do with it?’ The goal is to help people think bigger than their current circumstances and take control of their financial future.”Success stories from Jamison’s programs include individuals raising their credit scores, families purchasing their first homes, and young adults learning to budget before taking on debt. “It’s about financial confidence,” she says. “When you know where your money is going, you make better decisions.”A Call to Action for Financial WellnessAs Urban Experience Magazine highlights Minority Health Month, Jamison reminds us that financial health is just as critical as physical health. “We take better care of our cars than we do our finances—and that needs to change. When your finances are in order, you relieve stress, improve your mental well-being, and create opportunities for yourself and your family.”Her top three tips for improving financial health are:Awareness – Understand your financial situation by tracking expenses and debts.Action – Create a budget, pay off debt, and build an emergency fund.Access – Use available resources, such as financial coaching and community programs, to strengthen your financial knowledge.Jamison’s message is clear: Financial health is a pillar of overall wellness. By prioritizing financial literacy, individuals can gain not only financial freedom but also a healthier, more secure future.Urban Experience Magazine, in partnership with MOJO Marketing and PR, celebrates Minority Health Month and the incredible individuals like Rasheda Jamison who are changing lives through educating communities on financial health.FINANCIAL HEALTHThe Key to Overall WellnessBy: Rasheda Jamison Urban Experience Magazine | 53

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A 15-part quiz for HIV-awareproviders, bold advocates,and anti-stigma superheroes.……NOTNOT in this clinic! in this clinic!STIGMA?STIGMA? STIGMA? STIGMA? The Face of HIV Looks Like...?A) Someone on themargins of societyB) Someone “reckless”C) Literally anyone-it doesn’t discriminateD) A 90s after-school specialStigma Check: HIV doesn’t have a “look.” People living with HIVare your patients, your coworkers, your family, your neighbors.Finish the Sentence:People living with HIV deserve…A) PityB) DistanceC) Respect andequitable careD) To be labeled“risky” foreverStigma Check: Compassion > judgment. Always.Wait…So You’re Telling Me:Undetectable =A) Invisible B) DangerousC) Can’t transmit HIVthrough sexD) Must be lyingStigma Check: Undetectable = Untransmittable (U=U).Science says what it said.Side-Eye Alert: A patient disclosesthey’re living with HIV. You:A) Thank them andproceed with careB) Ask “How did you getit?” out of curiosityC) Triple-glove upD) Refer them tosomeone else becauseit’s “out of your scope”Stigma Check: Disclosure is trust. Don’t break it withmicroaggressions.Mythbusting Time!You can get HIV from:A) Sharing food B) Hugs or kissesC) Toilet seatsD) None of theaboveStigma Check: Myths like these fuel ignorance and isolation.Stop the nonsense.Real Talk: A person living with HIVwants to have kids. Your reaction:A) “But... how?” B) “Should you?”C) “You absolutely can.Let’s talk options.”D) “Not mybusiness.” Stigma Check: People living with HIV can have healthypregnancies and families.True or FalseYou can tell someone’s HIV status by how they look or act.Stigma Check: HIV doesn't come with a neon sign or “vibe.” Testing is the only way to know someone’s status.powered by MOJO MKTG + PRIllustration/Layout by:`Joshua Ogunyemi

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A 15-part quiz for HIV-awareproviders, bold advocates,and anti-stigma superheroes.……NOTNOT in this clinic! in this clinic!STIGMA?STIGMA? STIGMA? STIGMA? The Face of HIV Looks Like...?A) Someone on themargins of societyB) Someone “reckless”C) Literally anyone-it doesn’t discriminateD) A 90s after-school specialStigma Check: HIV doesn’t have a “look.” People living with HIVare your patients, your coworkers, your family, your neighbors.Finish the Sentence:People living with HIV deserve…A) PityB) DistanceC) Respect andequitable careD) To be labeled“risky” foreverStigma Check: Compassion > judgment. Always.Wait…So You’re Telling Me:Undetectable =A) Invisible B) DangerousC) Can’t transmit HIVthrough sexD) Must be lyingStigma Check: Undetectable = Untransmittable (U=U).Science says what it said.Side-Eye Alert: A patient disclosesthey’re living with HIV. You:A) Thank them andproceed with careB) Ask “How did you getit?” out of curiosityC) Triple-glove upD) Refer them tosomeone else becauseit’s “out of your scope”Stigma Check: Disclosure is trust. Don’t break it withmicroaggressions.Mythbusting Time!You can get HIV from:A) Sharing food B) Hugs or kissesC) Toilet seatsD) None of theaboveStigma Check: Myths like these fuel ignorance and isolation.Stop the nonsense.Real Talk: A person living with HIVwants to have kids. Your reaction:A) “But... how?” B) “Should you?”C) “You absolutely can.Let’s talk options.”D) “Not mybusiness.” Stigma Check: People living with HIV can have healthypregnancies and families.True or FalseYou can tell someone’s HIV status by how they look or act.Stigma Check: HIV doesn't come with a neon sign or “vibe.” Testing is the only way to know someone’s status.powered by MOJO MKTG + PR“But HIV Is a Death Sentence,Right?” This belief is:B) Outdated and falseA) 1980s vintageC) Disrespectful D) All of the aboveStigma Check: HIV is chronic and manageable withtreatment. Period.You learn a coworker is living withHIV. What reaction misses the mark?A) "How did thathappen?"B) "I hope they'redoing okay."C) "That does notchange who they are."D) "How can I besupportive?"Stigma Check: If blame shows up before care, it's time tocheck your reflex, not their reality.Whisper Culture:Why do some people avoidgetting tested for HIV?A) Fear of being judgedB) Stigma fromhealthcare providersC) Shame about beingperceived as “risky”D) All of the aboveStigma Check: If people are scared to get tested, stigmais winning. Change the vibe.Advocacy Is What?A) Only for peopleliving with HIVB) Only if it’s your “lane”C) Everyone’s job D) OptionalStigma Check: Solidarity is a verb, not a trend.Your Final Exam:What’s one thing you won’t doafter this quiz?A) Say “clean” tomean HIV-negativeB) Judge or treat peopledifferently based on theirHIV status.C) Stay silent whenyou hear stigmaD) All of the aboveStigma Check: You’re either reinforcing stigma—orbreaking it. Pick a sideThe Real Risk Is:What’s more harmful than HIV itself?A) MisinformationB) Lack of accessC) Internalized stigma D) All of the aboveStigma Check: Fear doesn’t prevent HIV.Education and empathy does.“OH! You got HIV?!”What’s wrong with this response?A) It centers shame B) It implies blameC) It reinforcesstereotypes, it doesn’tdiscriminateD) All of the above Stigma Check: Shock < SupportB) HumorFill in the Blank:Stigma is a form of __________.A) ConfusionC) Violence D) GossipStigma Check: Yes, violence. It blocks care, kills trust,and isolates people.Bonus Score Breakdown:13–15 correct: Certified stigma disruptor. Keep leading with facts and fire.9–12 correct: You’ve got the tools—now flex them louder.5–8 correct: Room to grow, and that’s okay. Keep learning.0–4 correct: Time to unlearn and re-learn. Growth starts now.powered by MOJO MKTG + PRAnswer Key: C, C, False, C, A, D, C, D, C, D, D, A, D, C, D

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