目的了解安徽省艾滋病流行县因有偿献血感染HIV/AIDS的已婚成人(包括AIDS病人和HIV感染者)心理卫生状况及其影响因素,为制定干预措施提供科学依据。方法从安徽省6个艾滋病综合防治项目县抽取153个因有偿献血感染HIV的家庭(夫妻一方或双方HIV检测阳性),每个家庭调查1名HIV阳性已婚成人为HIV阳性组;同时,在同村调查1名性别相同、年龄相差在3岁以内的健康已婚成人(HIV阴性)作为非HIV感染组,共153人。使用症状自评量表、自尊量表、家庭生活事件量表及有关不良行为问卷(包括饮酒、吸烟、夫妻争吵、自伤、自杀行为等)和AIDS知识问卷,进行入户问卷调查。结果 HIV阳性组受教育程度在初中及以上所占比例、家庭人均年收入≥1000元所占比例、打工率均低于非HIV感染组,而丧偶比例却高于非HIV感染组,差异均有显著统计学意义(P值均<0.05)。HIV阳性组9类心理症状的检出率和心理卫生症状总检出率(59.5%)均高于非HIV感染组(15.7%)(P值均<0.001)。HIV阳性组自尊量表的得分(25.92±4.04)显著低于非HIV感染组(28.07±3.77);HIV阳性组家庭最近1年出现的事件数为7.24±3.87,显著高于非HIV感染组(1.61±3.22)(P值均<0.001)。两组成人最近一个月喝最多一次的酒量超过2两白酒或2瓶啤酒以上比例,非HIV感染组显著高于HIV阳性组;最近一个月吸烟频率和吸烟量上HIV阳性组显著高于非HIV感染组(P值均<0.05)。HIV阳性组最近半年经常与妻子或丈夫争吵的报告率为16.3%,显著高于非HIV感染组;病例组最近半年有过自伤行为、自杀意念的报告率分别为11.1%、5.9%,显著高于对照组(P值均<0.05)。结论农村地区因有偿献血感染HIV/AIDS的已婚成人心理卫生问题较为突出,应采用有效措施进行干预。 Objective To understand the mental health of married adults (including AIDS patients and HIV-infected persons) living with HIV / AIDS in AIDS-endemic counties in Anhui Province and its influencing factors, so as to provide a scientific basis for formulating interventions. Methods A total of 153 HIV-positive HIV-positive families were collected from 6 HIV / AIDS prevention and control counties in Anhui Province (HIV test was positive for one or both spouses). One HIV-positive married adult was investigated in each household as HIV-positive group. At the same time, A total of 153 healthy married adults (HIV-negative) with the same gender and a mean age difference of less than 3 years as a non-HIV-infected group were surveyed in the same village. The self-esteem scale, family life event scale and questionnaire about adverse behavior (including alcohol, smoking, marital bickering, self-injury and suicide) and AIDS knowledge questionnaire were used to conduct questionnaire survey. Results The proportion of HIV-positive group receiving educational level in junior high school and above, the annual per capita income of the family being ≥1000 yuan, working rate were lower than non-HIV infected group, while the widowed percentage was higher than non-HIV infected group, the difference was Significant statistical significance (P <0.05). The detection rate of 9 psychological symptoms and the total incidence of mental health symptoms in HIV positive group (59.5%) were higher than those in non-HIV infected group (15.7%) (P <0.001). The scores of self-esteem scale in HIV-positive group (25.92 ± 4.04) were significantly lower than those in non-HIV-infected group (28.07 ± 3.77). The number of HIV-positive family events in the recent 1 year was 7.24 ± 3.87, significantly higher than that of non-HIV infection group 1.61 ± 3.22) (P <0.001). In the non-HIV-infected group, the two groups of adults had drunk more than two wines or two bottles of beer in the most recent month, which was significantly higher than that of the HIV-positive group. In the recent month, the frequency of smoking and the HIV-positive group were significantly higher than those without HIV Infection group (all P <0.05). The prevalence of quarrels among HIV-positive patients who frequently quarreled with their wives or husbands in the recent six months was 16.3%, significantly higher than that of non-HIV-infected patients. In the recent six months, the reported cases of self-injury were reported in 11.6% and 5.9% respectively Higher than the control group (P <0.05). Conclusion The mental health problems of married adults in rural areas infected by HIV / AIDS due to compensatory blood donation are more prominent. Effective measures should be taken to intervene.