The vast majority of content my wife and I consume are on YouTube and Twitch so we get a ton of value out of YouTube Premium. I’m the only one I know irl who pays for YouTube Premium, but I also don’t subscribe to any streaming platforms except Spotify. I have Netflix free through T-Mobile but rarely use it.
As someone who was hesitant about YouTube Premium at first, I would recommend it, although I do wish they had a cheaper ad-free-only option (I don’t use YouTube music since I have Spotify). My motivation that put me over the edge was getting sick of seeing ads on my smart tv, since you can’t use an ad blocker on those.
I primarily watch YouTube on my smart TV. There are pretty much no other options to avoid ads.