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For members of the L.G.B.T.Q. community, and especially people of color, the hesitancy stems, in part, from pre-existing mistrust in the medical establishment, the experts said. The infamous Tuskegee study, which took place from 1932 to 1972, is one of the most egregious examples of racial discrimination in health care. The researchers recruited African-American men, some of whom were infected with syphilis, to observe the course of the disease. But the researchers did not disclose what they were studying or give the participants proper treatment, even as the men suffered and experienced severe health problems. The racial bias still found in medical care as well as the modern-day discrimination faced by sexual and gender minorities adds an additional burden.

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