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Well then you should live in NYC, they stay on their horns, but most of it is totally unncessary. Mexico City though was absurd. Most other places are orderly compared to these two.
In NYC, it's becoming the "cool" thing to do if you're a tourist. They just randomly blow their horns...
I rarely use the horn to the point where I scare myself if I mistakenly set it off. I do use it perhaps a few times a year when people are slow at lights and I can't blast around them in another lane.
Although some people in cornbelt America (or anywhere in Ohio) drive like crap and could use a horn to wake them up, I would advise against it. They would wake up and react like freaked cows (or sheep or deer or other types of wildlife) and likely cause an accident. The best bet is to find a way around them.
Unless, of course, you are on the proverbial two-lane road with no passing zones (regardless of what the signs say is legal), stuck behind some idiot Buckeye going 20 mph under the speed limit. (In Summit County, that would be like, oh, 15 mph).