Social and cultural factors can lead to a lack of open discussion and dialogue, stigma and the exclusion of people living with HIV and AIDS and difficulties in reaching affected people.
社会和文化因素可造成缺乏公开讨论和对话的情况，造成艾滋病毒/艾滋病感染者感到耻辱和受到排斥，难以接触到受感染人群。