Some fixtures screw into an electrical box attached to the studs in the ceiling. The IKEA SIMRISHAMN pendant does that, for example.
What do you do if you want to move a ceiling light a bit to the side? Do you install an entire new electrical box?
You don’t actually need the box though. In fact they weren’t even available in my previous two homes. It’s really more a convenience thing than anything.
But again, this is assuming we are talking about the same thing (region differences and all).