Your database doesn't have to have a column called '_id' but the SimpleCursorAdaptor does need to have one returned. You can do this with an alias.
An example is that I have a table with columns...
uid,name,number
To query this for a SimpleCursorAdapter, I do this with a database rawQuery
...
SELECT uid as _id,name,number FROM MY_TABLE
This works fine and supplies the necessary '_id' column to SimpleCursorAdapter.
EDIT: As far as I understand it the _id field is used as a unique key to make sure the data the cursor handles can be handled correctly by adapters and adapterviews etc.
Look at the data model in the docs for Content Providers.
Using a unique key in 'databases' of whatever kind is pretty much universal practice, and as far as I can tell, the use of the column name '_id' (or '_ID') is simply a way of standardizing and simplifying things across databases, content providers, cursors, adapters etc etc
In short, in order for these various components to work correctly, they need a data column with unique values but they must also 'know' what the name of that column is. They wouldn't 'know', so to speak, that my column name 'uid' is the one they need as opposed to my 'name' and 'number' columns.
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