Earlier quoted context omitted.
I have an email address that I've only ever used as my AWS account email since many years ago. Somehow I started getting spam on it last year. It is not an address anyone could guess or somehow generate based on other data points such as name or otherwise.
Many of us who operate our own mail services use a unique email address for every web service we use. You'd be surprised how many of these unique email addresses I've received spam at (and have subsequently blackholed). I would estimate less than 50% of the associated services ever report a data breach event. I figure either there has been an unreported breach or, possibly more likely, the service sold their userlist…
John.smith@gmail.com
Johnsmith+quora@gmail.com
Johnsmith+equifax@gmail.com Etc...