Prevention Guidelines for Men 50-64

Here are the screening tests and immunizations that most men ages 50 to 64 need. Although you and your health care 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

Every two 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

All adults

Check with your health care provider; fecal occult blood testing, sigmoidoscopy, and colonoscopy are the recommended screening methods

Depression

All adults with access to a clinical practice that has staff and systems in place to assure accurate diagnosis, effective treatment, and follow-up

At routine exams

Diabetes mellitus, type 2

Adults who are asymptomatic and have sustained blood pressure (treated or untreated) greater than 135/80 mm Hg

At routine exams

HIV

Anyone at increased risk for infection

At routine exams

Lipid disorders

All adults

At least every five years

Obesity

Anyone at increased risk

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

Counseling

Who needs it

How often

Aspirin for primary prevention of cardiovascular events

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

When diagnosed with risk for cardiovascular/heart disease

Diet, behavioral counseling

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

When diagnosed

Tobacco use and tobacco-related disease

All adults

Every visit

Immunization

Who needs it

How often

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

Measles, mumps, rubella (MMR)

All adults ages 50 to 64 who lack prior infection or documented vaccinations**

One dose

Chickenpox (varicella)

Adults ages 50 to 64 who lack prior infection or documented vaccinations**

Two doses; second dose should be given 4 to 8 weeks after the first dose

Flu (seasonal)

All adults

Yearly during flu season

Hepatitis A

People at risk**

Two doses: For Havrix, at zero and 6 to 12 months; or for Vaqta, at zero and 6 to 18 months

Hepatitis B

People at risk**

Three 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 risk**

One or more doses

Pneumococcal (polysaccharide)

People at risk**

One or more doses

Zoster

All men age 60 and older**

One dose

* Recommendation from the Joint National Committee on Prevention, Detection, and Treatment of High Blood Pressure

** Exceptions may exist; talk with your health care provider

Screening guidelines from the U.S. Preventive Services Task Force

Immunization schedule from the Centers for Disease Control and Prevention (CDC)


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