Screening/counselingRecommendationGrade; year
Cancer
CervicalScreen every three years with cervical cytology alone in women 21 to 29 years of ageGrade A; 2018
Screening women < 21 years is not recommendedGrade D; 2018
Skin: behavioralCounsel young adults and adolescents with fair skin types about minimizing exposure to ultraviolet radiationGrade B; 2018
TesticularScreening is not recommendedGrade D; 2011
Cardiovascular health
Blood pressure (hypertension)Insufficient evidence to assess the balance of benefits and harms of screening asymptomatic adolescents to prevent cardiovascular disease in childhood or adulthoodGrade I; 2013
Screen those ≥ 18 years; obtain measurements outside of the clinic setting for diagnostic confirmation before starting treatmentGrade A; 2015
Lipid disordersInsufficient evidence to assess the balance of benefits and harms of screening ≤ 20 yearsGrade I; 2016
General health
Intimate partner violenceScreen women of reproductive age and provide or refer women who screen positive to ongoing support servicesGrade B; 2018
ObesityScreen and offer or refer to comprehensive, intensive behavioral interventionsGrade B; 2017
Prevention of neural tube defectsRecommend that all women who are planning or capable of pregnancy take a daily supplement containing 0.4 to 0.8 mg of folic acidGrade A; 2017
ScoliosisInsufficient evidence to assess the balance of benefits and harms of screening in children and adolescents 10 to 18 years of age*Grade I; 2018
Mental health
DepressionInsufficient evidence to assess the balance of benefits and harms of screening in children ≤ 11 yearsGrade I; 2016
Screen adolescents 12 to 18 years of age and adults, including pregnant and postpartum women; adequate diagnostics, effective treatment, and follow-up should be in placeGrade B; 2016
Suicide riskInsufficient evidence to assess the balance of benefits and harms of screening adolescents in primary careGrade I; 2014
Sexually transmitted infections
BehavioralProvide intensive behavioral counseling for all sexually active adolescentsGrade B; 2014
Chlamydia and gonorrheaScreen sexually active women ≤ 24 yearsGrade B; 2014
Insufficient evidence to assess the balance of benefits and harms of screening in malesGrade I; 2014
Hepatitis B virus infectionScreen those at high risk of infection (e.g., > 2% hepatitis B virus prevalence in country of origin, HIV infection, injection drug users, household contacts or sex partners of others with hepatitis B virus infection, men who have sex with men, immunocompromised persons, or those in other high-prevalence settings)Grade B; 2014
Screen for hepatitis B virus in pregnant women at their first prenatal visitGrade A; 2019
Herpes simplex virus infectionRoutine serologic screening in asymptomatic adolescents is not recommended, including in women who are pregnantGrade D; 2016
HIV infectionScreen adolescents ≥ 15 years; screen younger adolescents with risk factors; offer preexposure prophylaxis with effective antiretroviral therapy to those at high risk of HIV acquisitionGrade A; 2019
Screen pregnant womenGrade A; 2019
SyphilisScreen adolescents who are at increased risk of infectionGrade A; 2016
Screen pregnant womenGrade A; 2018
Substance abuse
AlcoholEvidence is insufficient to assess the balance of benefits and harms of screening and brief behavioral counseling interventions for adolescents 12 to 17 years of ageGrade I; 2018
Screen for unhealthy alcohol use in those ≥ 18 years, including pregnant women, and provide those engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol useGrade B; 2018
TobaccoProvide interventions, including education or brief counseling, to prevent initiation of tobacco use among adolescentsGrade B; 2013
Ask all individuals ≥ 18 years about tobacco use, advise to stop, and provide behavioral interventions for cessation; if nonpregnant, also offer U.S. Food and Drug Administration–approved pharmacotherapy for cessationGrade A; 2015
Evidence is insufficient to assess the balance of benefits and harms of pharmacotherapy intervention for tobacco cessation in pregnant women.Grade I; 2015
Evidence is insufficient to recommend electronic nicotine delivery systems for tobacco cessation in adults, including pregnant women.Grade I; 2015