Prevention Guidelines for Men 18 to 39

Screening tests and vaccines are an important part of managing your health. A screening test is done to find diseases in people who don’t have any symptoms. The goal is to find a disease early so lifestyle changes and checkups can reduce the risk of disease. Or the goal may be to find it early to treat it most effectively. Screening tests are not used to diagnose a disease. But they are used to see if more testing is needed. Health counseling is important, too. Below are guidelines for these, for men ages 18 to 39. Talk with your healthcare provider to make sure you’re up to date on what you need.

ScreeningWho needs itHow often
Alcohol misuseAll adultsAt routine exams
Blood pressureAll adultsYearly checkup if your blood pressure is normal*Normal blood pressure is less than 120/80 mm Hg*If your blood pressure is higher than normal, follow the advice of your healthcare provider
DepressionAll adults who have access to healthcare provider for diagnosis, treatment, and follow-upAt routine exams
Diabetes mellitus, type 2Adults who have no symptoms and are overweight or obese and have 1 or more extra risk factors for diabetes (such as having a close family member with diabetes)At least every 3 years (yearly if blood sugar has started to rise)
Hepatitis CIf at increased riskAt routine exams
HIVAll menAt routine exams
High cholesterol and triglyceridesAll men ages 35 and older, and younger men at high risk for coronary artery diseaseAt least every 5 years
ObesityAll adultsAt routine exams
SyphilisAnyone at increased risk for infectionAt routine exams
ChlamydiaAnyone at increased risk for infectionAt routine exams
GonorrheaAnyone at increased risk for infectionAt routine exams
TuberculosisAnyone at increased risk for infectionCheck with your healthcare provider
VisionAll men in this age group1Every 5 to 10 years if no risk factors for eye disease
CounselingWho needs itHow often
Diet and exerciseAdults who are overweight or obeseWhen diagnosed and at routine exams
Sexually transmitted infection preventionMen who are sexually activeAt routine visits
Skin cancerPrevention of skin cancer in fair-skinned adults through age 24At routine visits
Tobacco use and tobacco-related diseaseAll adultsEvery exam
Immunizations***Who needsHow often
Tetanus/diphtheria/pertussis (Td/Tdap) boosterAll adultsTd: every 10 yearsTdap: Have a 1-time dose of Tdap instead of 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 vaccine**2 doses. The second dose should be given 4 to 8 weeks after the first dose.
Flu (seasonal)All adultsYearly, when the vaccine is available
Hepatitis APeople at risk22 doses given at least 6 months apart
Hepatitis BPeople at risk33 doses over 6 months. The 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 risk1 to 3 doses
Human papillomavirus (HPV)All men in this age group up to age 262-3 doses (depending on the age at which the vaccine series began). If 3 doses are advised, the second dose should be given at least 1 month after the first dose and the third dose should be given at least 5 months after the first dose.
MeningococcalPeople at risk41 or more doses
Pneumococcal (PCV13) and pneumococcal (PPSV23)People at risk5PCV13: 1 dose ages 19 to 65 (protects against 13 types of pneumococcal bacteria)PPSV23: 1 to 3 doses depending on medical situation (protects against 23 types of pneumococcal bacteria)The type of vaccine used and the number of doses depends on age and medical situation. Talk with your healthcare provider about when and which type of vaccine is best for you.
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