Smoking, far more. You almost never see cigarettes in film, when just a few decades ago, they were everywhere in them. I can't think of any place, barring a sidewalk, where smoking is accepted. Even then, it's just barely. On dating sites, it's a huge deal breaker. People hate the smells of smoke on clothes, in cars, etc.... Smokers and tobacco companies are seen as public health drains.
Outside of soccer moms and sportswriters, steroids are a problem that's usually met with snickers. And they are totally acceptable when wrapped in the veil of "HRT", and lightly used.

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Meanwhile steroid use has been stable or seen modest growth in the last few decades -
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3961570/ .