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Seemingly every time this point is made, it's to draw a link between what the speaker considers immoral behavior and the disease, similar to other stds and promiscuity in general.
It's a bloodborne disease, that's it. If 100% of patients in a hospital unit were given AIDS via transfusions, you would be calling that a coincidence, but that is entirely in line with the cause. Anal tearing increases the risk of infection just like a large open wound in a person's hand. Morality has 0 to do with it
Yes at one point in time some people did get it through blood transfusions. They found out the cause and that is why they screen people and blood better than they did.
however the majority of transmissions are from drugs use and or sexual behavior. so yes morality has a lot to do with it.