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    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

    Online Medical Reviewer: Cunningham, Louise, RN
    Online Medical Reviewer: Hurd, Robert, MD
    Online Medical Reviewer: Taylor, Wanda, RN, PhD
    Online Medical Reviewer: Turley, Raymond Kent, BSN, MSN, RN
    Date Last Reviewed: 2/1/2017
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