Indonesia, as an archipelagic country, has abundant natural resource potential, including mineral resources such as gold. One area experiencing gold mining activity is South Aceh Regency, specifically the working area of the Ujung Padang Rasian Community Health Center (UPTD), which covers 11 villages with approximately 17–25 mining locations, of which 7 locations are still actively operating. This study aims to analyze gold mining activities and their impacts on the social, economic, and cultural aspects of the local community. The study used an observational analytical design with a quantitative cross-sectional approach. The study population was all gold mining workers with a sample size of 35 respondents determined through a total sampling technique. Data collection was carried out using questionnaires and observations, then analyzed using the chi-square test. The results showed that gold mining activities were categorized as high (57.1%) and very high (42.9%), with the majority of respondents having worked for 1–4 years. There was a significant relationship between mining activities and economic conditions and community income levels (p=0.019). Conversely, no significant relationship was found between mining activities and socio-cultural aspects (p=0.091) or length of employment (p=0.66). These findings indicate that gold mining activities contribute positively to improving the community's economy, while social structures and cultural values remain relatively stable. Therefore, sustainable management through supervision, health education, the use of personal protective equipment, and the implementation of environmentally friendly technologies is needed to minimize potential negative social and environmental impacts