The album was titled for the influence of Catholicism on Madonna’s early life. The album cover has been seen as a reference to Sticky Fingers by The Rolling Stones. The packaging on the first pressings of the CD, cassette, and LP were scented with patchouli oils to simulate church incense. A publicist for Warner Bros. Records said, “She wanted to create a flavor of the 60’s and the church. She wanted to create a sensual feeling you could hear and smell.” The inlays included pictures of a brunette Madonna. The album also included an insert with safer sex guidelines and a warning about the dangers of AIDS, to which Madonna had lost friends.