It doesn't work for me for quite a while now (for up to a year), even with recent versions from git [0]. My preliminary guess is that's because Google renders each result with <div> (block element) inside an <a> tag. I didn't have any extra spare time to test that further (and report) though, so I simply ditched Google and just went with duck.com from that point.
Lynx is not a screen reader. (In fact, it's considerably less accessible to blind users than a typical desktop browser -- as a console application, it has no way to provide accessibility data to a screen reader.)
A screen reader is a tool like JAWS or VoiceOver which interacts with desktop software (including web browsers like Chrome or Safari) to provide information about what the user is interacting with.
Any reason people prefer lynx over w3m or eww?