You’re definitely influenced by the market of western civ. Big tobacco, for instance, lobbies the government of Mexico to let them sell cigarettes without restriction (e.g. to kids, without warning labels, without PSAs warning people that smoking is dangerous).
I should clarify when I say it happens in western civilization, I’m not saying it doesn’t happen outside of western civilization. China, for instance has its own set of vices sold to the people fully aware of their ill health effects. I’m less familiar with them, and can’t give an informed opinion about it.
But as Russia’s history with Vodka shows us, personal responsibility only carries us so far, and a state may gladly sacrifice the integrity of its households to squeeze more production from the workforce.