Elamouri Fauzi, Rockstroh Jürgen Kurt, Teetipsatit Somchai, Mohamedkhair Suha Gafar, Pumpaibool Tepanata
College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand.
Medical School Hamburg, Hamburg, Germany.
Prev Med Rep. 2025 May 3;54:103100. doi: 10.1016/j.pmedr.2025.103100. eCollection 2025 Jun.
Libya continues to face significant public health challenge as a result of the ongoing civil war since 2011, including HIV prevention among displaced populations. This study aims at examining the impact of the HABIBI educational intervention on HIV knowledge, attitudes, and condom use among male Internally Displaced Persons (IDP) in Libya.
A quasi-experimental study with pre-pos-tests was conducted in two IDP camps in Tripoli (August-October 2023). The study was carried out in two IDP camps from different locations in Tripoli, Libya. Systematic random sampling included 30 participants in both intervention and comparison groups. Outcomes were measured at baseline, 4 weeks, and 8 weeks using Repeated Measures Chi-Square and ANOVA.
The intervention group showed significant improvements in HIV knowledge from baseline ( = 0.06) to week four ( < 0.01) and week eight ( < 0.01). HIV attitudes improved by 27.59 % (p < 0.01) in the intervention group, compared to 0.68 % ( = 0.54) in the comparison group at 8 weeks. Condom attitudes were significantly higher in the intervention group at all time points (p < 0.01). Condom use increased in the intervention group over 8 weeks (p < 0.01) but not in the comparison group ( = 0.38). Barriers to condom use included trust in partners and cultural stigma around purchase.
The HABIBI intervention effectively improved HIV-related knowledge, attitudes, and condom use among Libyan IDPs. Addressing cultural stigma is crucial for enhancing public health interventions in conflict zones.
自2011年以来，利比亚持续的内战使其面临重大公共卫生挑战，包括在流离失所人群中预防艾滋病毒。本研究旨在探讨“哈比比”教育干预对利比亚男性境内流离失所者（IDP）的艾滋病毒知识、态度和避孕套使用情况的影响。
2023年8月至10月，在的黎波里的两个境内流离失所者营地进行了一项带有前后测的准实验研究。该研究在利比亚的黎波里不同地点的两个境内流离失所者营地开展。系统随机抽样在干预组和对照组中各纳入30名参与者。使用重复测量卡方检验和方差分析在基线、4周和8周时测量结果。
干预组从基线（ = 0.06）到第4周（ < 0.01）和第8周（ < 0.01），艾滋病毒知识有显著改善。干预组的艾滋病毒态度在8周时提高了27.59%（p < 0.01），而对照组为0.68%（ = 0.54）。干预组在所有时间点的避孕套态度均显著更高（p < 0.01）。干预组在8周内避孕套使用增加（p < 0.01），而对照组未增加（ = 0.38）。避孕套使用的障碍包括对伴侣的信任以及购买时的文化耻辱感。
“哈比比”干预有效改善了利比亚境内流离失所者的艾滋病毒相关知识、态度和避孕套使用情况。消除文化耻辱感对于加强冲突地区的公共卫生干预至关重要。
