Prevention Guidelines for Men 18 to 39
Prevention Guidelines for Men 18 to 39
Here are the screening tests and immunizations that most men ages 18 to 39 need. A screening test is done to find possible disorders or diseases in people who don't have any symptoms. The goal is to find a disease early so lifestyle changes can be made and you can be watched more closely to reduce the risk of disease, or to detect it early enough to treat it most effectively. Screening tests are not considered diagnostic, but are used to determine if more testing is needed. Although you and your healthcare 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 |
Yearly checkup if your blood pressure is normal* Normal blood pressure is less than 120/80 mm Hg* If your blood pressure reading is higher than normal, follow the advice of your healthcare provider |
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 |
All men who have no symptoms and are overweight or obese and have 1 or more additional risk factors for diabetes |
At least every 3 years (annually if blood sugar has started to rise) |
Diabetes mellitus, type 2 |
All men beginning at age 45 |
Every 3 years |
Diabetes mellitus, type 2 |
All men with prediabetes |
Every year |
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 |
Chlamydia |
Anyone at increased risk for infection |
At routine exams |
Gonorrhea |
Anyone at increased risk for infection |
At routine exams |
Tuberculosis |
Anyone at increased risk for infection |
Check with your healthcare 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 (HPV) |
All men in this age group up to age 26 |
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 American College of Cardiology and the American Heart Association Task Force on Clinical Practice Guidelines
**Exceptions may exist; discuss with your healthcare 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
Updated:  
January 19, 2018
Sources:  
Evidence-based approach to prevention, Up To Date, Meningococcal Conjugate Vaccines Policy Update: Booster Dose Recommendations. Committee on Infectious Diseases. Pediatrics. Dec. 6, 2011;128(6):1213-8., Overview of Hypertension in Adults, Up To Date, Standards of Medical Care in Diabetes, 2016, American Diabetes Association
Reviewed By:  
Cunningham, Louise, RN,Hurd, Robert, MD,Taylor, Wanda, RN, PhD,Turley, Raymond Kent, BSN, MSN, RN