Cross-sectional study of trends in cervical cancer screening rates by race and ethnicity, age, language, and census region in the USA

A cross-sectional study using an electronic medical record (EMR) system examined cervical cancer screening (CCS) trends by race and ethnicity, age, language, and census region among females aged 21 to 64 years between 2019 and 2024. Annual sample sizes ranged from 9 to 16 million females and increased steadily over time. CCS increased across all populations from 2019 to 2024. Non-Hispanic White participants had the highest annual CCS rates from 2019 to 2021, but experienced the smallest percentage increase, from 10.98% to 13.85% over the study period. Hispanic participants experienced the largest percentage increase in CCS rates, from 9.85% to 15.51%. American Indian, Alaska Native, Native Hawaiian, and Pacific Islander participants, and those from the Western and Southern census regions had the lowest screening rates throughout the study period. The authors conclude that although CCS rates have increased over time, persistent racial and ethnic and geographical disparities remained, highlighting the need for targeted efforts to promote equitable screening uptake.