Section 1. Preventive Services Recommended by the USPSTF

Guide to Clinical Preventive Services, 2012

The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians discuss these preventive services with eligible patients and offer them as a priority. All these services have received an "A" or a "B" (recommended) grade from the Task Force. For definitions of all grades used by the USPSTF, go to Appendix A. The full listings of all USPSTF recommendations for adults and children are in Section 2 and Section 3.

RecommendationAdultsSpecial Populations
MenWomenPregnant WomenChildren
Abdominal Aortic Aneurysm, Screening1X   
Alcohol Misuse Screening and Behavioral Counseling InterventionsXXX 
Aspirin for the Prevention of Cardiovascular Disease2XX  
Asymptomatic Bacteriuria in Adults, Screening3  X 
Breast and Ovarian Cancer Susceptibility, Genetic Risk Assessment and BRCA Mutation Testing4 X  
Breast Cancer, Screening5 X  
Breastfeeding, Primary Care Interventions to Promote6 XX 
Cervical Cancer, Screening7 X  
Chlamydial Infection, Screening8 XX 
Colorectal Cancer, Screening9XX  
Congenital Hypothyroidism, Screening10   X

Depression in Adults, Screening11

Diabetes Mellitus (Type 2) in Adults, Screening12XX  
Folic Acid to Prevent Neural Tube Defects13 XX 
Gonococcal Ophthalmia Neonatorum, Preventive Medication14   X
Gonorrhea, Screening15 XX 
Hearing Loss in Newborns, Screening16   X
Hepatitis B Virus in Pregnant Women, Screening17  X 
High Blood Pressure (Adults), ScreeningXX  
HIV, Screening18XXXX
Iron Deficiency Anemia, Prevention19   X
Iron Deficiency Anemia, Screening20  X 
Lipid Disorders in Adults, Screening21XX  
Major Depressive Disorder in Children, Screening22   X
Obesity in Children and Adolescents, Screening23   X
Osteoporosis, Screening24 X  
Phenylketonuria, Screening25   X
Rh (D) Incompatibility, Screening26  X 
Sexually Transmitted Infections, Counseling27XX X
Sickle Cell Disease, Screening28   X
Syphilis Infection, Screening29XX  
Syphilis Infection in Pregnancy, Screening  X 
Tobacco Use in Adults and Pregnant Women, Counseling30XXX 
Visual Impairment in Children Ages 1 to 5, Screening31   X

1 One-time screening by ultrasonography in men aged 65 to 75 who have ever smoked.
2 When the potential harm of an increase in gastrointestinal hemorrhage is outweighed by a potential benefit of a reduction in myocardial infarctions (men aged 45-79 years) or in ischemic strokes (women aged 55-79 years).
3 Pregnant women at 12-16 weeks gestation or at first prenatal visit, if later.
4 Refer women whose family history is associated with an increased risk for deleterious mutations in BRCA1 or BRCA2 genes for genetic counseling and evaluation for BRCA testing.
5 Biennial screening mammography for women aged 50 to 74 years. Note: The Department of Health and Human Services, in implementing the Affordable Care Act, follows the 2002 USPSTF recommendation for screening mammography, with or without clinical breast examination, every 1-2 years for women aged 40 and older.
6 Interventions during pregnancy and after birth to promote and support breastfeeding.
7 Screen with cytology every 3 years (women ages 21 to 65) or co-test (cytology/HPV testing) every 5 years (women ages 30-65).
8 Sexually active women 24 and younger and other asymptomatic women at increased risk for infection. Asymptomatic pregnant women 24 and younger and others at increased risk.
9 Adults aged 50-75 using fecal occult blood testing, sigmoidoscopy, or colonoscopy.
10 Newborns.
11 When staff-assisted depression care supports are in place to assure accurate diagnosis, effective treatment, and follow-up.
12 Asymptomatic adults with sustained blood pressure greater than 135/80 mg Hg.
13 All women planning or capable of pregnancy take a daily supplement containing 0.4 to 0.8 mg (400 to 800 μg) of folic acid.
14 Newborns.
15 Sexually active women, including pregnant women 25 and younger, or at increased risk for infection.
16 Newborns.
17 Screen at first prenatal visit.
18 All adolescents and adults at increased risk for HIV infection and all pregnant women.
19 Routine iron supplementation for asymptomatic children aged 6 to 12 months who are at increased risk for iron deficiency anemia.
20 Routine screening in asymptomatic pregnant women.
21 Men aged 20-35 and women over age 20 who are at increased risk for coronary heart disease; all men aged 35 and older.
22 Adolescents (age 12-18) when systems are in place to ensure accurate diagnosis, psychotherapy, and follow-up.
23 Screen children aged 6 years and older for obesity; offer or refer for intensive counseling and behavioral interventions.
24 Women aged 65 years and older and women under age 65 whose 10-year fracture risk is equal to or greater than that of a 65-year-old white woman without additional risk factors.
25 Newborns.
26 Blood typing and antibody testing at first pregnancy-related visit. Repeated antibody testing for unsensitized Rh (D)-negative women at 24-28 weeks gestation unless biological father is known to be Rh (D) negative.
27 All sexually active adolescents and adults at increased risk for STIs.
28 Newborns.
29 Persons at increased risk.
30 Ask all adults about tobacco use and provide tobacco cessation interventions for those who use tobacco; provide augmented, pregnancy-tailored counseling for those pregnant women who smoke.
31 Screen children ages 3-5 years.

Page last reviewed October 2011
Internet Citation: Section 1. Preventive Services Recommended by the USPSTF: Guide to Clinical Preventive Services, 2012. October 2011. Agency for Healthcare Research and Quality, Rockville, MD.