LAUSR

Key Points Question What proportion of screening-eligible women do not have up-to-date US Preventive Services Task Force guideline–concordant cervical cancer screening status, and what are their primary reasons for not receiving timely screening? Findings In this cross-sectional study of 20 557 women (weighted, 113 million women) eligible for cervical cancer screening in the US, the proportion of women without up-to-date screening significantly increased from 14.4% in 2005 to 23.0% in 2019 among all sociodemographic groups, with disparities found across different sociodemographic groups and lack of knowledge reported as the biggest barrier to receiving screening. Meaning This study found that guideline-concordant cervical cancer screening rates decreased between 2005 and 2019; campaigns addressing patient knowledge and practitioner communication may help to improve cervical cancer screening rates, and cultural adaptation of interventions is needed to reduce existing disparities.