What long-term consequences did the Tuskegee Syphilis Study have on the African American community's trust in medical research?
A. It had no impact on trust as it was widely accepted as ethical at the time.
B. It resulted in increased participation in medical trials among African Americans.
C. It strengthened trust in medical research due to increased awareness.
D. It eroded trust and led to skepticism and reluctance in Black Americans to participate in research and seek out healthcare.