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One of her friends has records by folk-blues legends Lead Belly, Ma Rainey and Bessie Smith, and these artists were a formative influence on the young Janis

Alcohol is generally the same, Shah says

They marketed cigarettes as a glamorous and even healthy pastime, despite overwhelming evidence that tobacco use causes cancer, emphysema, heart disease, and countless other fatal conditions

Theres a striking, almost agonizing tension between the hyper-curated aesthetic of the visuals and the raw, uncomfortable intimacy of the lyrics

More stories from The Iowa Clinic at DesMoinesRegister.com/IowaClinic This article is part of the "Your Local Health" series

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