They're saying that in certain circumstances, if your API exposes the PK publicly, it may leak information you don't want leaked (the precise datetime something occurred, in the case of UUIDv7).
If that's an issue for you, you can get around this in a variety of ways, as they mention: you could use an associative table that maps the externally-exposed random ID to an internal-only ID.
If that's an issue for you, you can get around this in a variety of ways, as they mention: you could use an associative table that maps the externally-exposed random ID to an internal-only ID.