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Health by decade / 01 of 04

Health in your 30s

Most screening in your 30s is about establishing baselines and catching the few things that start early: blood pressure, cervical screening, one-time hepatitis C and HIV tests, and, from 35, glucose testing if you carry extra weight. The numbers you record now are the ones you will compare against for the next thirty years.

Written by the VitalDecades editorial team Reviewed by the editorial review process Updated
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01  /  Screenings

What to get checked in your 30s

Each row names the body that recommends it, the grade it gave, and the date of that recommendation. Recommendations change; the date tells you how current the row is.

Blood pressure

Confirm a high office reading with out-of-office measurement before treatment.

Who All adults 18 and older
How often Every 3 to 5 years with prior normal readings and no risk factors; yearly at 40 and older or at increased risk
Recommendation USPSTF Grade A (2021)

Effective

Prediabetes and type 2 diabetes (A1C, fasting glucose or OGTT)

Starts at 35, so on this page it applies from 35 to 39.

Who Adults 35 to 70 with overweight or obesity
How often About every 3 years if results are normal
Recommendation USPSTF Grade B (2021)

Effective

Cervical cancer screening

A December 2024 draft update proposes HPV primary screening (clinician- or self-collected) every 5 years at 30 to 65; not final as of 2026-08-19.

Who Women 21 to 65
How often Ages 21 to 29: cytology every 3 years. Ages 30 to 65: cytology every 3 years, hrHPV every 5 years, or cotesting every 5 years
Recommendation USPSTF Grade A (2018)

Effective

Depression screening

Who All adults, including pregnant and postpartum people and older adults
How often No optimal interval established; screen everyone not previously screened, then by clinical judgment
Recommendation USPSTF Grade B (2023)

Effective

Anxiety disorder screening

Insufficient evidence at 65 and older.

Who Adults 64 and younger, including pregnant and postpartum people
How often No specific interval
Recommendation USPSTF Grade B (2023)

Effective

Unhealthy alcohol use screening and brief counseling

Who Adults 18 and older
How often No interval established
Recommendation USPSTF Grade B (2018)

Effective

Hepatitis C screening

Who Adults 18 to 79
How often One time for most adults; periodically with continued risk
Recommendation USPSTF Grade B (2020)

Effective

HIV screening

Who Adolescents and adults 15 to 65; older adults at increased risk
How often At least once; repeat for people at increased risk
Recommendation USPSTF Grade A (2019)

Effective

Hepatitis B screening

Who Adults at increased risk (born in high-prevalence regions, HIV, injection drug use, men who have sex with men, household or sexual contacts)
How often Risk-based
Recommendation USPSTF Grade B (2020)

Effective

Syphilis screening

Who Nonpregnant adults at increased risk
How often Risk-based
Recommendation USPSTF Grade A (2022)

Effective

Chlamydia and gonorrhea screening

Insufficient evidence for screening men.

Who Sexually active women 24 and younger; women 25 and older at increased risk
How often Risk-based at 25 and older
Recommendation USPSTF Grade B (2021)

Effective

Weight and BMI, with referral to intensive behavioral programs when BMI is 30 or higher

The topic is being updated; the 2018 statement remains current.

Who Adults with a BMI of 30 or higher
How often Offer or refer at the visit
Recommendation USPSTF Grade B (2018)

Effective

Influenza vaccine

Who All adults 19 and older
How often One dose every year
Recommendation CDC/ACIP adult schedule (reviewed 2025-07-02)

Effective

Tetanus, diphtheria, pertussis (Tdap or Td)

Who All adults
How often One Tdap, then a Td or Tdap booster every 10 years
Recommendation CDC/ACIP adult schedule (reviewed 2025-07-02)

Effective

Pneumococcal vaccine

Routine vaccination begins at 50.

Who Adults 19 to 49 with certain conditions or risk factors
How often One dose of PCV20 or PCV21; or PCV15 followed by PPSV23
Recommendation CDC/ACIP adult schedule (reviewed 2025-07-02)

Effective

COVID-19 vaccine

CDC's separate COVID vaccine considerations page could not be verified on 2026-08-19; check the current schedule.

Who Adults 19 and older
How often Per the current CDC schedule; the schedule page still expresses this in terms of the 2024 to 2025 vaccine
Recommendation CDC/ACIP adult schedule (reviewed 2025-07-02)

Effective

02  /  Numbers to track

Biomarkers worth knowing this decade

What changes in your 30s

Blood pressure screening becomes yearly at 40, but the US Preventive Services Task Force already recommends checking every 3 to 5 years through your 30s, more often if you have overweight or obesity or readings at the high end of normal. Glucose screening starts at 35 for adults with overweight or obesity, and repeats about every 3 years while normal. Cholesterol testing has no fixed USPSTF interval in your 30s; the 2018 AHA/ACC cholesterol guideline suggests risk assessment from age 20 with lipids every 4 to 6 years in adults free of disease.

Two one-time tests belong in this decade if you have never had them: hepatitis C (adults 18 to 79) and HIV (15 to 65). Both are USPSTF Grade A or B and both are simple blood tests.

Frequently asked questions

Do I need a full physical every year in my 30s?

No US body recommends a fixed annual physical. The USPSTF recommendations above set what to check and how often; a visit every year or two that covers blood pressure, weight, mental health and the tests due for your age does the same job.

When should I start checking cholesterol?

The 2018 AHA/ACC guideline suggests a first lipid panel and risk assessment in your 20s and every 4 to 6 years after that if you are healthy; the USPSTF ties statin decisions to ages 40 to 75, so a baseline in your 30s tells you where you are heading before that window opens.