Little is known about the impact of HIV/AIDS on people who acquired the virus through former commercial plasma donations in the mid-1990s in rural Central China. The objective of this study was to examine socioeconomic impacts associated with HIV/AIDS on poor farm workers and their families, with a particular focus on economic hardships and social exclusion. The findings from 30 interviews reveal the profound effects of deteriorating health on labour power loss. The well-being of people living with HIV/AIDS was immensely affected by the loss of income, debts due to health-related expenses and a lack of alternate sources of income. Social exclusion and HIV/AIDS-related stigma remain significant issues in a workplace, funerals, and weddings. This article highlights the economic impacts of HIV/AIDS on China’s rural population and provides recommendations for social workers to mitigate the impacts of social exclusion on vulnerable rural households in China.

既有文獻對於上世紀九十年代中期中原地區因有償采供血而感染艾滋病群體的相關研究很少。本文旨在探究艾滋病對這些貧窮農民和其家庭的社會經濟影響，著重考察其經濟困境和社會排斥的狀況。通過對30位受訪者的訪談，本文發現艾滋病病患者不斷惡化的健康狀況對其家庭勞動力損失產生了深遠影響。收入減少、醫療支出導致的債務增加和替代性收入來源的缺乏，都嚴重影響到艾滋病群體的生活狀況。在工作場所、葬禮和婚禮等相關社會活動和交往中，社會排斥和對艾滋病的污名化仍舊是一個很嚴重的問題。文章最後強調了艾滋病對中國農村人口的經濟影響，並就社會工作者如何減少脆弱農戶的社會排斥提出了針對性建議。

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