To investigate the mental health and risk behavior of married adult HIV/AIDS subjects derived from paid blood donation in the rural of Anhui Province and explore the risk factors for formulation intervention measures. One hundred and fifty three adults selected from AIDS or HIV+ affected families (affected group) and 153 healthy adults (HIV-) from non-affected families (control group). Only one married adults was investigated from each family. Anonymous questionnaires composed of SCL-90, Self-esteem Scale, Life Event Scale, Risk behaviors and 20 items on HIV/AIDS knowledge were completed by every participant. The rates of education more than 6 years, annual per-capita income more than 1000 yuan and migrant temporary workers are lower (P < 0.001) in the affected group than the control group, and the rate of loss spouse is higher (P < 0.05) in the affected group than the control group. The total scores and the detection rate of 9 risk factors of SCL-90 in HIV adults (59.5%) are higher than those in HIV- adults (15.7%) (chi2 = 62.537, P < 0.001). The scores of self-esteem in HIV+ adults are lower but the number of life events in their families is higher than HIV- adults (P < 0.001). The frequency of drinking more liquor in recent 30 days is higher in HIV- adults. The frequency and quantity of smoking in HIV+ adults are higher than those in HIV- adults (P < 0.05). The rates of quarrel between husband and wife, self-injury, suicidal ideation in the HIV+ adults are higher than those in HIV- adults (P < 0.05). Active and efficient intervention should be taken to improve the mental health of married adult with AIDS/HIV+ derived from paid blood donation and to reduce the risk behaviors.

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China HIV Infections Human immunodeficiency virus infection psychological aspect Spouses mental health human rural population Acquired Immunodeficiency Syndrome Blood Donors marriage blood donor Humans male female spouse questionnaire self concept Article high risk behavior Risk-Taking Questionnaires adult acquired immune deficiency syndrome