| 2023 | ||||
| (Budapest, Hungary, August 20) | ||||
| 1. | Mária Pérez (Spain) | 1:26:51 | ||
| 2. | Jemima Montag (Australia) | 1:27:16 | ||
| 3. | Antonella Palmisano (Italy) | 1:27:26 | ||
| 4. | Kimberly García (Peru) | 1:27:32 | ||
| 5. | Alegna Gonzalez (Mexico) | 1:27:36 | ||
| 6. | Glenda Estefanía Morejón (Ecuador) | 1:27:40 | ||
| 7. | Zhenxia Ma (China) | 1:28:30 | ||
| 8. | Viviane Lyra (Brazil) | 1:28:36 | ||
| [no U.S. entrants] | ||||
| 2022 | ||||
| (Eugene, Oregon, July 15) | ||||
| 1. | Kimberley García (Peru) | 1:26:58 | ||
| 2. | Katarzyna Zdzieblo (Poland) | 1:27:31 | ||
| 3. | Shenjie Qieyang (China) | 1:27:56 | ||
| 4. | Jemima Montag (Australia) | 1:28:17 | ||
| 5. | Hong Liu (China) | 1:29:00 | ||
| 6. | Nanako Fujii (Japan) | 1:29:01 | ||
| 7. | Alegna Gonzalez (Mexico) | 1:29:40 | ||
| 8. | Valentina Trapletti (Italy) | 1:29:54 | ||
| 24. | Robyn Stevens (USA) | 1:36:16 | ||
| 35. | Miranda Melville (USA) | 1:39:58 | ||
| 2019 | ||||
| (Doha, Qatar, September 30) | ||||
| 1. | Hong Liu (China) | 1:32:53 | ||
| 2. | Shenjie Qieyang (China) | 1:33:10 | ||
| 3. | Liujing Yang (China) | 1:33:17 | ||
| 4. | Erica de Sena (Brazil) | 1:33:36 | ||
| 5. | Sandra Arenas (Colombia) | 1:34:16 | ||
| 6. | Kumiko Okada (Japan) | 1:34:36 | ||
| 7. | Nanako Fujii (Japan) | 1:34:50 | ||
| 8. | Mária Pérez (Spain) | 1:35:43 | ||
| [35. | Maria Michta-Coffey (USA) | 1:46:02] | ||
| 2017 | ||||
| (London, August 13) | ||||
| 1 | Jiayu Yang (China) | 1:26:18 | ||
| 2 | Maria Guadalupe González (Mexico) | 1:26:19 | ||
| 3 | Antonella Palmisano (Italy) | 1:26:36 | ||
| 4 | Erica de Sena (Brazil) | 1:26:59 | ||
| 5 | Sandra Arenas (Colombia) | 1:28:10 | ||
| 6 | Ana Cabecinha (Portugal) | 1:28:57 | ||
| 7 | Kimberley García (Peru) | 1:29:13 | ||
| 8 | Na Wang (China) | 1:29:26 | ||
| [25 | Maria Michta-Coffey (US) | 1:32:14] | ||
| [33 | Miranda Melville (US) | 1:34:47] | ||
| [no third U.S. entrant] | ||||
| 2015 | ||||
| (Beijing, August 28) | ||||
| 1 | Hong Liu (China) | 1:27:45 | ||
| 2 | Xiuzhi Lu (China) | 1:27:45 | ||
| 3 | Lyudmyla Olyanovska (Ukraine) | 1:28:13 | ||
| 4 | Ana Cabecinha (Portugal) | 1:29:29 | ||
| 5 | Antonella Palmisano (Italy) | 1:29:34 | ||
| 6 | Erica de Sena (Brazil) | 1:30:06 | ||
| 7 | Brigita Virbalytė-Dimšienė (Lithuania) | 1:30:20 | ||
| 8 | Anežka Drahotová (Czech Republic) | 1:30:32 | ||
| [20 | Maria Michta-Coffey (US) | 1:33:24] | ||
| [26 | Miranda Melville (US) | 1:35:19] | ||
| [no third U.S. entrant] | ||||
| 2013 | ||||
| (Moscow, August 12) | ||||
| 1 | Yelena Lashmanova (Russia) | 1:27:08 | ||
| 2 | Anisya Kirdyapkina (Russia) | 1:27:11 | ||
| 3 | Hong Liu (China) | 1:28:10 | ||
| 4 | Huanhuan Sun (China) | 1:28:32 | ||
| 5 | Elisa Rigaudo (Italy) | 1:28:41 | ||
| 6 | Beatriz Pascual (Spain) | 1:29:00 | ||
| 7 | Anezka Drahotová (Czech Republic) | 1:29:05 | ||
| 8 | Ana Cabecinha (Portugal) | 1:29:17 | ||
| [34 | Maria Michta (US) | 1:33:51] | ||
| [43 | Erin Gray (US) | 1:34:38] | ||
| [dq | Miranda Melville (US)] | |||
| 2011 | |||||
| 1 | Olga Kaniskina (Russia) | 1:29:42 | |||
| 2 | Hong Liu (China) | 1:30:00 | |||
| 3 | Anisya Kirdyapkina (Russia) | 1:30:13 | |||
| 4 | Elisa Rigaudo (Italy) | 1:30:44 | |||
| 5 | Shenjie Qieyang (China) | 1:31:14 | |||
| 6 | Susana Feitor (Portugal) | 1:31:26 | |||
| 7 | Ana Cabecinha (Portugal) | 1:31:36 | |||
| 8 | Kristina Saltanović (Lithuania) | 1:31:40 | |||
| [30 | Maria Michta-Coffey (US) | 1:38:54] | |||
| [no second or third U.S. entrant] | |||||
| 2009 | ||||
| 1 | Olive Loughnane (Ireland) | 1:28:58 | ||
| 2 | Hong Liu (China) | 1:29:10 | ||
| 3 | Anisya Kirdyapkina (Russia) | 1:30:09 | ||
| 4 | Vera Santos (Portugal) | 1:30:35 | ||
| 5 | Beatriz Pascual (Spain) | 1:30:40 | ||
| 6 | Masumi Fuchise (Japan) | 1:31:15 | ||
| 7 | Kristina Saltanovič (Lithuania) | 1:31:23 | ||
| 8 | Elisa Rigaudo (Italy) | 1:31:52 | ||
| Retroactive doping dq [1] | Olga Kaniskina (Russia) | [1:28:09] | ||
| [dnf | Teresa Vaill (US) | |||
| [no second or third U.S. entrant] | ||||
| 2007 | ||||||
| 1 | Olga Kaniskina (Russia) | 1:30:09 | ||||
| 2 | Tatyana Shemyakina (Russia) | 1:30:42 | ||||
| 3 | Maria Vascó (Spain) | 1:30:47 | ||||
| 4 | Kjersti Plätzer (Norway) | 1:31:24 | ||||
| 5 | Susana Feitor (Portugal) | 1:32:01 | ||||
| 6 | Claudia Stef (Romania) | 1:32:47 | ||||
| 7 | Inês Henriques (Portugal) | 1:33:06 | ||||
| 8 | Sabine Zimmer (Germany) | 1:33:23 | ||||
| [dq | Teresa Vaill (US)] | |||||
| [no second or third U.S. entrant] | ||||||
| 2005 | ||||
| 1 | Olimpiada Ivanova (Russia) | 1:25:41 | WCR | |
| 2 | Rita Turova (Belarus) | 1:27:05 | ||
| 3 | Susana Feitor (Portugal) | 1:28:44 | ||
| 4 | Maria Vascó (Spain) | 1:28:51 | ||
| 5 | Barbora Dibelková (Czech Republic) | 1:29:05 | ||
| 6 | Athiná Papayiánni (Greece) | 1:29:21 | ||
| 7 | Elisa Rigaudo (Italy) | 1:29:52 | ||
| 8 | Claudia Stef (Romania) | 1:30:07 | ||
| [dnf | Teresa Vaill (US)—only U.S. entrant] | |||
| 2003 | ||||
| 1 | Yelena Nikolayeva (Russia) | 1:26:52 | WCR | |
| 2 | Gillian O’Sullivan (Ireland) | 1:27:34 | ||
| 3 | Valentina Tsybulskaya (Belarus) | 1:28:10 | ||
| 4 | Tatyana Gudkova (Russia) | 1:28:53 | ||
| 5 | Claudia Stef (Romania) | 1:29:09 | ||
| 6 | Rossella Giordano (Italy) | 1:29:14 | ||
| 7 | Athanasía Tsoumeléka (Greece) | 1:29:34 | ||
| 8 | Melanie Seeger (Germany) | 1:29:44 | ||
| [24 | Joanne Dow (US) —only U.S. entrant] | 1:36:32] | ||
| 2001 | ||||
| 1 | Olimpiada Ivanova (Russia) | 1:27:48 | WCR | |
| 2 | Valentina Tsybulskaya (Belarus) | 1:28:49 | ||
| 3 | Elisabetta Perrone (Italy) | 1:28:56 | ||
| 4 | Erica Alfridi (Italy) | 1:29:48 | ||
| 5 | María Vasco (Spain) | 1:30:19 | ||
| 6 | Norica Cîmpean (Romania) | 1:30:39 | ||
| 7 | Melanie Seeger (Germany) | 1:30:41 | ||
| 8 | Annarita Sidoti (Italy) | 1:31:40 | ||
| [25 | Jill Zenner (US) | 1:42:43] | ||
| [dnf | Michelle Rohl (US)] | |||
| [no third U.S. entrant] | ||||
| 1999 | ||||
| 1 | Hongyu Liu (China) | 1:30:50 | WCR | |
| 2 | Yan Wang (China) | 1:30:52 | ||
| 3 | Kerry Saxby-Junna (Australia) | 1:31:18 | ||
| 4 | Susana Feitor (Portugal) | 1:31:23 | ||
| 5 | Katarzyna Radtke (Poland) | 1:31:34 | ||
| 6 | Erica Alfridi (Italy) | 1:32:04 | ||
| 7 | Jane Saville (Australia) | 1:32:13 | ||
| 8 | Maya Sazonova (Kazakhstan) | 1:32:19 | ||
| [31 | Susan Armenta (US) | 1:40:20] | ||
| [38 | Danielle Kirk (US) | 1:43:27] | ||
| [dq | Joanne Dow (US)] | |||
| 1997 | ||||
| (10K—track) | ||||
| 1 | Annarita Sidoti (Italy) | 42:55.49 | ||
| 2 | Olga Kardopoltseva (Belarus) | 43:30.20 | ||
| 3 | Valentina Tsybulskaya (Belarus) | 43:49.24 | ||
| 4 | Hongyu Liu (China) | 43:56.86 | ||
| 5 | Erica Alfridi (Italy) | 43:59.73 | ||
| 6 | Anikó Szebenszky (Hungary) | 44:14.94 | ||
| 7 | Yan Gu (China) | 44:24.17 | ||
| 8 | Anita Liepina (Latvia) | 45:00.56 | ||
| [Victoria Herazo (US) dq in heat—only U.S. entrant] | ||||
| 1995 | ||||
| (10K) | ||||
| 1 | Irina Stankina (Russia) | 42:13 | WCR | |
| 2 | Elisabetta Perrone (Italy) | 42:16 | ||
| 3 | Yelena Nikolayeva (Russia) | 42:20 | ||
| 4 | Sari Essayah (Finland) | 42:20 | ||
| 5 | Larisa Khemelnitskaya (Russia) | 42:25 | ||
| 6 | Rossella Giordano (Italy) | 42:26 | ||
| 7 | Maria Rosza-Urbaník (Hungary) | 42:34 | ||
| 8 | Hongyu Liu (China) | 42:46 | ||
| [15 | Michelle Rohl (US) | 44:17] | ||
| [21 | Teresa Vaill (US) | 45:02] | ||
| [dnf—Debbi Lawrence (US)] | ||||
| 1993 | ||||
| (10K) | ||||
| 1 | Sari Essayah (Finland) | 42:59 | ||
| 2 | Ileana Salvador (Italy) | 43:08 | ||
| 3 | Encarnación Granados (Spain) | 43:21 | ||
| 4 | Elisabetta Perrone (Italy) | 43:26 | ||
| 5 | Beate Anders (Germany) | 43:28 | ||
| 6 | Katarzyna Radtke (Poland) | 43:33 | ||
| 7 | Yelena Nikolayeva (Russia) | 43:47 | ||
| 8 | Yelena Sayko (Russia) | 43:56 | ||
| [22 | Teresa Vaill (US) | 46:58] | ||
| [37 | Debbi Lawrence (US) | 48:53] | ||
| [43 | Sarah Standley (US) | 51:01] | ||
| 1991 | ||||
| (10K) | ||||
| 1 | Alina Ivanova (Soviet Union) | 42:57 | WCR | |
| 2 | Madelein Svensson (Sweden) | 43:13 | ||
| 3 | Sari Essayah (Finland) | 43:13 | ||
| 4 | Irina Strakhova (Soviet Union) | 43:40 | ||
| 5 | Kerry Saxby-Junna (Australia) | 44:02 | ||
| 6 | Graciela Mendoza (Mexico) | 44:03 | ||
| 7 | Ileana Salvador (Italy) | 44:09 | ||
| 8 | Yueling Chen (China) | 44:11 | ||
| [19 | Debbi Lawrence (US) | 45:5 | ||
| [25 | Lynn Weik (US) | 46:49] | ||
| [27 | Victoria Herazo (US) | 47:10] | ||
| 1987 | ||||
| (10K) | ||||
| 1 | Irina Strakhova (Soviet Union) | 44:12 | WCR | |
| 2 | Kerry Saxby-Junna (Australia) | 44:23 | ||
| 3 | Hong Yan (China) | 44:42 | ||
| 4 | Mari Cruz Díaz (Spain) | 44:48 | ||
| 5 | Yelena Nikolayeva (Soviet Union) | 44:54 | ||
| 6 | Monica Gunnarsson (Sweden) | 45:09 | ||
| 7 | Jingjie Jin (China) | 45:24 | ||
| 8 | Ann Peel (Canada) | 45:27 | ||
| [15 | Lynn Weik (US) | 46:51] | ||
| [20. Debbi Lawrence (US) 47:31] | ||||
| [24 | Maryanne Torrellas (US) | 48:27] | ||
| 1983 | ||||
| (event not contested) |
