Wendy Macdowall and colleagues' Article (Nov 30, p 1845)1 addressed the issue of lifetime prevalence of sexual violence in Britain. The data were obtained from a population-based survey and relied on a question about having unwanted sex since 13 years of age. Excluding sexual assaults during childhood from a survey focusing on lifetime prevalence of unwanted sex is puzzling. The authors point out that the third National Survey of Sexual Health Attitudes and Lifestyles (Natsal) was the first Natsal survey to include questions about sexual violence. However, use of one question about unwanted sexual intercourse did not allow them to explore the whole field of sexual violence.
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