Gonorrhea: Screen sexually active females annually. 8Ĭhlamydia: Screen sexually active females annually screen sexually active males in settings with a high prevalence of chlamydia annually. Screen sexually active females younger than 25 years annually there is insufficient evidence to assess benefits and harms in males. Sexually transmitted infections counselingĬounseling is recommended in patients who are sexually active there is insufficient evidence to assess benefits and harms in patients who are not sexually active. Provide annually beginning at 11 years of age. Provide interventions, including education or brief counseling, to prevent tobacco use. There is insufficient evidence to assess benefits and harms. Screen annually beginning at 11 years of age. Screen annually beginning at 12 years of age. All adolescents should be screened for HIV beginning at 15 years of age. Adolescents with multiple partners or high-risk sexual behavior should be screened for syphilis and HIV. Sexually active females younger than 25 years should be screened for chlamydia and gonorrhea annually. Sexually active adolescents should receive intensive behavioral counseling on the prevention of sexually transmitted infections. 38īased on a Cochrane review of heterogeneous studies of home parenting interventions, mostly in socioeconomically disadvantaged populationsĪdolescents 12 years and older should be screened for major depressive disorder using a validated tool such as the Patient Health Questionnaire for Adolescents and the Beck Depression Inventory for primary care. School-aged children should be taught safety precautions, and parents should be encouraged to model safe behaviors. School-aged children should be counseled on healthy lifestyle habits, including eating a healthy diet, being active for at least 60 minutes per day, consistent screen media limits, obtaining adequate sleep, and practicing good dental hygiene. Sexually active adolescents should be counseled about the risk of sexually transmitted infections, and they should be screened for these infections if indicated. Because high-risk behaviors may start in early adolescence, many experts recommend discussing tobacco, alcohol, and drug use, including prescription drugs, beginning at 11 years of age. Unintentional injury is the leading cause of death in this age group in the United States, and families should be counseled on vehicle, water, sports, firearm, home, environmental, and social safety. Children should brush their teeth twice per day with a pea-sized amount of toothpaste containing fluoride. Inadequate sleep is associated with behavioral issues, difficulty concentrating at school, high blood pressure, and obesity. Nine to 12 hours of sleep per night is recommended for school-aged children. A Family Media Use Plan should be used to individualize screen time limits and content for children. Children should engage in 60 minutes of moderate to vigorous physical activity each day. Children should eat a diet high in fruits, vegetables, whole grains, low-fat or nonfat dairy products, beans, fish, and lean meats, while limiting sugar, fast food, and highly processed foods. School-aged children (five to 12 years) are establishing patterns of behavior that may last a lifetime therefore, during health maintenance visits, it is important to counsel families on healthy lifestyle practices.
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