Q-tips aren't supposed to be used for cleaning wax out of ears. That's not what they're for, and the manufacturer and much of the medical establishment actively advises against it.
They're (meant to be) used for applying and removing makeup, taking samples of fluids for medical purposes (e.g. DNA swab), cleaning small items such as jewelry or electronics, applying glue in arts and crafts.[1] Using them for ear cleaning is associated with a number of risks to the ear.[2] But you do you.
>They're (meant to be) used for applying and removing makeup
There are specialty items mostly commonly used for the latter (cotton pads), and I'm not sure the reason almost every household has cotton swabs in their bathroom for fringe activities like: "taking samples of fluids for medical purposes (e.g. DNA swab), cleaning small items such as jewelry or electronics, applying glue in arts and crafts".
That leaves "applying makeup" as the other main use.
Well, they've worked just fine for me and millions of others (it's their most popular use). That said, there are indeed accidents from misuse.
Not sure what other people buy them for in the billions and have them at every bathroom. Cleaning vinyl records and nails?