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Prevention Guidelines

Prevention Guidelines for Men 18 to 39

Here are the screening tests and immunizations that most men ages 18 to 39 need. Although you and your health care provider may decide that a different schedule is best for you, this plan can guide your discussion.

Screening

Who needs it

How often

Alcohol misuse

All adults

At routine exams

Blood pressure

All adults

Every 2 years if your blood pressure reading is less than 120/80 mm Hg*

Yearly if your systolic blood pressure reading is 120 to 139 mm Hg or your diastolic blood pressure reading is 80 to 89 mm Hg*

Depression

All adults who have access to clinical practices with staff and systems in place to assure accurate diagnosis, effective treatment, and follow-up

At routine exams

Diabetes mellitus, type 2

Adults who have no symptoms and have sustained blood pressure (treated or untreated) greater than 135/80 mm Hg

At least every 3 years

Hepatitis C

If at increased risk

At routine exams

HIV

All men

At routine exams

High cholesterol and triglycerides

All men ages 35 and older, and younger men at high risk for coronary artery disease

At least every 5 years

Obesity

All adults

At routine exams

Syphilis

Anyone at increased risk for infection

At routine exams

Tuberculosis

Anyone at increased risk for infection

Check with your health care provider

Vision

All men in this age group1

Every 5 to 10 years if not risk factors for eye disease

Counseling

Who needs it

How often

Diet and exercise

Adults who are overweight or obese

When diagnosed and at routine exams

Sexually transmitted infection prevention

Men who are sexually active

At routine visits

Skin cancer

Prevention of skin cancer in fair-skinned adults through age 24

At routine visits

Tobacco use and tobacco-related disease

All adults

Every exam

Immunizations***

Who needs it

How often

Tetanus/diphtheria/pertussis (Td/Tdap) booster

All adults

Td: every 10 years

Tdap: substitute a 1-time dose of Tdap for a Td booster after age 18, then boost with Td every 10 years

Measles, mumps, rubella (MMR)

All adults in this age group who have no record of previous infection or vaccines**

1 or 2 doses

Chickenpox (varicella)

All adults in this age group who have no record of this infection or vaccinations**

2 doses; the second dose should be given 4 to 8 weeks after the first dose

Flu (seasonal)

All adults

Yearly, when the vaccine becomes available in the community

Hepatitis A

People at risk2

2 doses given at least 6 months apart

Hepatitis B

People at risk3

3 doses over 6 months; second dose should be given 1 month after the first dose; the third dose should be given at least 2 months after the second dose (and at least 4 months after the first dose)

Haemophilus influenzae Type B (HIB)

People at risk

1 to 3 doses

Human papillomavirus (HPV4)

All men through age 21 years

Men ages 22 to 26 who are at risk

 

3 doses; the second dose should be given 1 to 2 months after the first dose and the third dose given 6 months after the first dose

Meningococcal

People at risk4

1 or more doses

Pneumococcal (PCV13) and pneumococcal (PPSV23)

People at risk5

PCV13: 1 dose ages 19 to 65 (protects against 13 types of pneumococcal bacteria)

PPSV23: 1 to 2 doses through age 64, or 1 dose at 65 or older (protects against 23 types of pneumococcal bacteria)

 

*Recommendation from the Joint National Committee on Prevention, Detection, and Treatment of High Blood Pressure

**Exceptions may exist; discuss with your health care provider

***Those who are 18 years of age, who are not up-to-date on their childhood immunizations, should receive all appropriate catch-up vaccines recommended by the CDC.

1Recommendation from the American Academy of Ophthalmology

2For complete list, see the CDC website

3For complete list, see the CDC website

4People ages 19 to 21 years and who are first-year college students or have one of several medical conditions

5For complete list, see the CDC website

Screening guidelines from the U.S. Preventive Services Task Force

Immunization schedule from the CDC

Online Medical Reviewer: Holloway, Beth, RN, M.Ed.
Online Medical Reviewer: MMI board-certified, academically affiliated clinician
Date Last Reviewed: 3/30/2015
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