This cross-sectional study examined trends in the prevalence of US women who have never been screened for cervical cancer from 2005 to 2023, and assessed whether corresponding trends in cervical cancer incidence (by age and stage at diagnosis) align with those nonscreening patterns.
Cross-sectional design limits causal inference; reliance on self-reported screening data may introduce recall bias; abstract alone does not provide specific outcome numbers.
Clinicians should be alert to rising proportions of never-screened women, as this may be driving stage-specific cervical cancer incidence trends — identifying and outreaching to never-screened patients remains a priority.
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