On some types of screws with twin-start threads, the two threads will be different sizes. One thread protrudes high above the screw’s body, and the other lies low against it. The higher thread is sharper than the lower one, and so will bite further into the material, holding it more securely.
Manufacturers of high-low threads claim that their sharp threads decrease the likelihood of the material splitting. However, screws with high-low threads are generally more expensive than ones with single-start threads.