艾滋病的污名化导致患者遭遇严重的社会歧视,这不仅迫使患者隐瞒病情,影响自身治疗,也不利于我国艾滋病预防和治疗工作的推进。本文通过对河南省某艾滋病高发县的问卷调查和深度访谈,在政治、经济、文化和社会关系等四个维度,分析了城镇居民、普通村民对艾滋病群体的歧视程度及艾滋病群体的自感歧视程度。通过方差分析和回归模型分析发现,性别、文化程度、政治面貌影响城镇居民的歧视态度;对所在村庄感染情况的了解程度、对艾滋病相关知识的了解程度以及所在村庄的实际感染状况影响普通村民的歧视态度;年龄、家族大小、打交道人数、身体状况以及所在村庄感染状况影响艾滋病患者群体的自感歧视态度。消减农村艾滋病群体社会歧视,需要从进一步完善并贯彻落实相关法律法规和政策制度、保证资金充分利用、有效宣传艾滋病相关知识、积极发挥非政府组织和社会工作者的作用等方面着力。 AIDS stigmatization has led to severe social discrimination patients, which not only forced patients to conceal the disease, affecting their own treatment, but also not conducive to AIDS prevention and treatment work in China. Based on the questionnaire survey and in-depth interviews with a high incidence of HIV / AIDS in Henan Province, this article analyzes the discrimination degree of urban residents and ordinary villagers against AIDS groups and the self-induced discrimination of AIDS groups in the four dimensions of politics, economy, culture and social relations degree. Through analysis of variance and regression model, it is found that gender, education level and political appearance affect the discrimination attitude of urban residents; the degree of understanding of the village infection, the knowledge of AIDS-related knowledge and the actual infection status of the village affected the general villagers’ Discrimination attitudes; age, family size, number of people dealt with, physical condition, and village status affect the attitude of people living with HIV / AIDS. Reducing social discrimination among rural AIDS groups needs to focus on further improving and implementing relevant laws, regulations, policies and systems, ensuring the full use of funds, effectively promoting AIDS-related knowledge, and actively playing the role of non-governmental organizations and social workers.