[目的]了解机车司机心理健康状况及其影响因素。[方法]对南昌铁路局管内南昌、向塘机务段采用整群抽样方法,随机抽取南昌、向塘2个机务段的机车司机共519人作为研究对象。采用SCL-90症状自评量表对机车司机心理健康状况进行测量,并与国内常模进行比较。以是否筛查阳性为因变量,以机车司机的年龄、婚姻状况、工作岗位、文化程度、生活事件、特质应对方式、社会支持等因素为自变量进行二分类非条件Logistic回归分析。[结果]机车司机SCL-90症状自评量表9项因子得分和阳性项目数均高于国内常模,但只有躯体化、强迫和焦虑3项因子得分的比较具有统计学意义。年龄、婚姻状况、工作岗位、文化程度、生活事件、特质应对方式社会支持等因素对机车司机的心理健康状况虽有影响,但均无统计学意义。[结论]机车司机存在一定的心理健康问题。应积极提供心理咨询服务,加强心理健康教育工作,为机车司机提供良好的社会支持。 [Objective] To understand the mental health of locomotive drivers and its influencing factors. [Method] A total of 519 locomotive drivers from Nanchang and Xiangtang to two locomotive depots in Nanchang and Xiangtang deploys cluster sampling method. SCL-90 symptom checklist was used to measure the mental health status of locomotive drivers and compared with the national norm. Taking whether screening for positive as the dependent variable, two-class non-conditional Logistic regression analysis was carried out with independent variables including locomotive driver’s age, marital status, job, educational level, life events, idiosyncratic coping style and social support. [Results] The scores of nine factors and the number of positive items of locomotive driver SCL-90 symptom self-rating scale were all higher than those of domestic norm, but only the scores of somatization, compulsion and anxiety were statistically significant. Age, marital status, job, education, life events, traits of social support and other factors on the locomotive driver mental health effects, but no statistically significant. [Conclusion] Locomotive drivers have certain mental health problems. Psychological counseling services should be actively provided to strengthen mental health education and provide good social support for locomotive drivers.