The only things I can think of that I do differently than many people that might make a difference is that I have my mail client set up to not show remote images ever and I never dirctly click any link from email no matter the source. Possibly things might be much worse otherwise, but from my perspective it doesn't seem like spam is a huge issue these days with basic filtering.
An alternative narrative is that previously email servers were supposed to accept almost anything from everyone and spammers took advantage of this. From this perspective it is the relatively recent requirement of sender verification that made the key difference and allows Spamhaus to work (obviously they need to do something to determine who to block). This perspective seems to match what I am seeing.