Prevention Guidelines for Men 40–49

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*

Colorectal cancer

Men diagnosed with specific inherited syndromes and inflammatory bowel disease

Discuss with your health care provider to make an informed decision about screening based on your family history, current medical condition, and personal values

Depression

All adults with access to a clinical practice 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

HIV

Anyone at increased risk

At routine exams

Lipid disorders

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 adults¹

Baseline comprehensive exam at age 40; if you have a chronic disease, check with your health care provider for exam frequency

Diet, behavioral counseling

Adults with hyperlipidemia and other known risk factors for cardiovascular and diet-related chronic disease

When diagnosed

Aspirin for primary prevention of cardiovascular problems

Men ages 45 to 79, when potential benefits from a decrease in heart attacks outweigh the harm or risks from an increase in gastrointestinal hemorrhage

When diagnosed with risk for cardiovascular/heart disease; check with your health care provider before starting

Tobacco use and tobacco-related disease

All adults

Every visit

Tetanus/diphtheria/

pertussis (Td/Tdap) booster

All adults

Td: every 10 years

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

Measles, mumps, rubella (MMR)

All adults ages 19 to 49 who have no documentation of previous infection or vaccinations**

One or two doses

Chickenpox (varicella)

All adults ages 19 to 49 who have no documentation of previous infection or vaccinations**

Two doses; the second dose should be given at least 4 weeks after the first dose

Flu (seasonal)

All adults

Yearly, when the vaccine becomes available in the community

Hepatitis A

People at risk²

Two doses given at least 6 months apart

Hepatitis B

People at risk³

Three doses; the second dose should be given 1 month after the first dose, and the third dose given at least 2 months after the second dose (or at least 4 months after the first dose)

Meningococcal

People at risk**

One or more doses

Pneumococcal (polysaccharide)

People at risk⁴

One or more doses