| Year | Gold | Silver | Bronze | Host | | Girls 2014 | | Girls 2012 | United States |  Dominicana | Mexico | Tijuana (MMEX) | | Girls 2010 | United States | Mexico | Puerto Rico | Guatemala City (GUA) | | Girls 2008 | United States | Mexico | Dominicana | Guaynabo (PUR) | | Girls 2006 | United States | Dominicana | Puerto Rico | Gainsville (USA) | | Girls 2004 | United States | Puerto Rico | Mexico | | Girls 2002 | Unites States | Dominicana | Puerto Rico | Salt Lake City (USA) | | Girls 2000 | Puerto Rico | United States | Dominicana | - (DOM) | | Girls 1998 | United States | Puerto Rico | Canada | Mayaguez (PUR) |
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| Medals | G | S | B | All | | 1. United States | 7 | 1 | | 8 | | 2. Puerto Rico | 1 | 2 | 3 | 6 | | 4. Dominicana | | 3 | 2 | 5 | | 5. Mexico | | 2 | 2 | 4 | | 6. Canada | | | 1 | 1 |
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