I just tried "how to use a massage ball" and I don't see any ads, and links seem to be all legit articles, with YouTube video tutorials at the top.
The same deal with the ads. Advertiser wouldn't pay for advertising of their product in a region or to a demograph they don't care for.
I'd be more surprised if you did get the same result as parent.
Anyway, this is how google explains it:
> Search uses personalization to improve results
> Personalization is when you get Search results tailored to you based on your activity.
https://support.google.com/websearch/answer/12412910?hl=enLocation affects a lot more results than personalization, but that is also very query dependent, so certain queries are affected by the location a lot more than others. And the particular example query is one that you can expect very little location variation.