The award was first presented in 1989 as International Female Solo Artist. The accolade was not handed out at the 1990, 1992 and 1993 ceremonies, with the award for International Solo Artist (given to a male or female artist) being awarded instead. The award for International Female Solo Artist was reinstated in 1994, and has been given ever since.
Björk is the artist with the most wins and nominations in the category, with four awards won out of nine nominations. Artists from the United States have won the accolade eleven times, more than any other country.