Health Maintenance Guidelines
Ages 18 to 39
Check blood pressure and screen for obesity and health risks.
- Diabetes: All non-Caucasians; All Caucasians with sustained blood pressure greater than 135/80, or BMI greater than or equal to 25, or history of gestational diabetes, or family history of diabetes.
- HIV: Between ages 15-65
- Alcohol Misuse: Discuss with your provider
- Prevention of Sexually Transmitted Infections: Discuss with your provider
- Influenza: Yearly
- Varicella (Chicken Pox) Vaccine: Individuals born in 1980 or later should receive a second vaccine.
- HPV: Females age 11–26 and males 11–21 should receive the HPV series 0, 2 and 6 month intervals.
- Tdap/Td: Adults under 65 who have never received Tdap should get a Tdap booster, regardless of when a prior Td was given. After this, Td is required every 10 years.
- Lipid Test: At age 35
- Chlamydia/Gonorrhea: Yearly through age 24 for sexually active women
- Cervical Cancer Screening: Pap only every 3 years for ages 21-29, Pap test with HPV screening every 5 years from ages 30-65
- Folic Acid: All women planning or capable of pregnancy take a daily supplement containing 0.4-0.8mg of folic acid.
These guidelines may not pertain to patients on chronic medications or patients with personal or family health risks. In addition to the specific tests and immunizations listed here, health maintenance also includes regular monitoring of blood pressure, weight, height, vision, hearing, and risk factor screening for coronary artery disease, depression, diabetes, hypertension, memory change, sexually transmitted diseases, and for tobacco, alcohol and dietary concerns.
Last updated: January 2016
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