If someone was directly targeting me, and had my email address from another site, they could probably figure out what I'd used elsewhere. But if it's just a script running through email addresses harvested from site A, then mine will almost always be irrelevant on site B.
The main reason I use it though is that it's a great way to figure out where spam is coming from. Last week for instance I got a "male enhancement" spam from an email address I've only ever given to scan.co.uk. That addres is now on my block list and I doubt I'll be buying through them again.