--- a/mobile/android/base/java/org/mozilla/gecko/BrowserApp.java
+++ b/mobile/android/base/java/org/mozilla/gecko/BrowserApp.java
@@ -690,20 +690,17 @@ public class BrowserApp extends GeckoApp
         JavaAddonManager.getInstance().init(appContext);
         mSharedPreferencesHelper = new SharedPreferencesHelper(appContext);
         mOrderedBroadcastHelper = new OrderedBroadcastHelper(appContext);
         mBrowserHealthReporter = new BrowserHealthReporter();
         mReadingListHelper = new ReadingListHelper(appContext, getProfile(), this);
         mAccountsHelper = new AccountsHelper(appContext, getProfile());
 
         if (AppConstants.MOZ_INSTALL_TRACKING) {
-            final SharedPreferences prefs = GeckoSharedPrefs.forApp(this);
-            if (prefs.getBoolean(GeckoPreferences.PREFS_HEALTHREPORT_UPLOAD_ENABLED, true)) {
-                AdjustConstants.getAdjustHelper().onCreate(this, AdjustConstants.MOZ_INSTALL_TRACKING_ADJUST_SDK_APP_TOKEN);
-            }
+            AdjustConstants.getAdjustHelper().onCreate(this, AdjustConstants.MOZ_INSTALL_TRACKING_ADJUST_SDK_APP_TOKEN);
         }
 
         if (AppConstants.MOZ_ANDROID_BEAM) {
             NfcAdapter nfc = NfcAdapter.getDefaultAdapter(this);
             if (nfc != null) {
                 nfc.setNdefPushMessageCallback(new NfcAdapter.CreateNdefMessageCallback() {
                     @Override
                     public NdefMessage createNdefMessage(NfcEvent event) {
@@ -884,17 +881,17 @@ public class BrowserApp extends GeckoApp
                 }
             });
         }
     }
 
     @Override
     public void onResume() {
         super.onResume();
-        AdjustConstants.getAdjustHelper().onResume();
+        AdjustConstants.getAdjustHelper().onResume(this);
 
         final String args = ContextUtils.getStringExtra(getIntent(), "args");
         // If an external intent tries to start Fennec in guest mode, and it's not already
         // in guest mode, this will change modes before opening the url.
         // NOTE: OnResume is called twice sometimes when showing on the lock screen.
         final boolean enableGuestSession = GuestSession.shouldUse(this, args);
         final boolean inGuestSession = GeckoProfile.get(this).inGuestMode();
         if (enableGuestSession != inGuestSession) {
@@ -906,17 +903,17 @@ public class BrowserApp extends GeckoApp
             "Prompt:ShowTop");
 
         processTabQueue();
     }
 
     @Override
     public void onPause() {
         super.onPause();
-        AdjustConstants.getAdjustHelper().onPause();
+        AdjustConstants.getAdjustHelper().onPause(this);
         // Register for Prompt:ShowTop so we can foreground this activity even if it's hidden.
         EventDispatcher.getInstance().registerGeckoThreadListener((GeckoEventListener) this,
             "Prompt:ShowTop");
     }
 
     @Override
     public void onStart() {
         super.onStart();

--- a/mobile/android/base/java/org/mozilla/gecko/adjust/AdjustHelper.java
+++ b/mobile/android/base/java/org/mozilla/gecko/adjust/AdjustHelper.java
@@ -1,25 +1,33 @@
 /* -*- Mode: Java; c-basic-offset: 4; tab-width: 20; indent-tabs-mode: nil; -*-
  * This Source Code Form is subject to the terms of the Mozilla Public
  * License, v. 2.0. If a copy of the MPL was not distributed with this
  * file, You can obtain one at http://mozilla.org/MPL/2.0/. */
 
 package org.mozilla.gecko.adjust;
 
+import org.mozilla.gecko.GeckoSharedPrefs;
+import org.mozilla.gecko.preferences.GeckoPreferences;
+
 import android.content.Context;
 import android.content.Intent;
+import android.content.SharedPreferences;
 
 import com.adjust.sdk.Adjust;
 import com.adjust.sdk.AdjustConfig;
 import com.adjust.sdk.AdjustReferrerReceiver;
 import com.adjust.sdk.LogLevel;
 
 public class AdjustHelper implements AdjustHelperInterface {
     public void onCreate(final Context context, final String maybeAppToken) {
+        if (isUserOptOut(context)) {
+            return;
+        }
+
         final String environment;
         final String appToken;
         final LogLevel logLevel;
         if (maybeAppToken != null) {
             environment = AdjustConfig.ENVIRONMENT_PRODUCTION;
             appToken = maybeAppToken;
             logLevel = LogLevel.WARN;
         } else {
@@ -31,16 +39,29 @@ public class AdjustHelper implements Adj
         config.setLogLevel(logLevel);
         Adjust.onCreate(config);
     }
 
     public void onReceive(final Context context, final Intent intent) {
         new AdjustReferrerReceiver().onReceive(context, intent);
     }
 
-    public void onResume() {
+    public void onResume(final Context context) {
+        if (isUserOptOut(context)) {
+            return;
+        }
+
         Adjust.onResume();
     }
 
-    public void onPause() {
+    public void onPause(final Context context) {
+        if (isUserOptOut(context)) {
+            return;
+        }
+
         Adjust.onPause();
     }
+
+    private boolean isUserOptOut(final Context context) {
+        final SharedPreferences prefs = GeckoSharedPrefs.forApp(context);
+        return !prefs.getBoolean(GeckoPreferences.PREFS_HEALTHREPORT_UPLOAD_ENABLED, true);
+    }
 }

--- a/mobile/android/base/java/org/mozilla/gecko/adjust/AdjustHelperInterface.java
+++ b/mobile/android/base/java/org/mozilla/gecko/adjust/AdjustHelperInterface.java
@@ -10,11 +10,11 @@ import android.content.Intent;
 
 public interface AdjustHelperInterface {
     /**
      * Register the Application with the Adjust SDK.
      * @param appToken the (secret!) Adjust SDK per-application token to register with; may be null.
      */
     void onCreate(final Context context, final String appToken);
     void onReceive(final Context context, final Intent intent);
-    void onResume();
-    void onPause();
+    void onResume(final Context context);
+    void onPause(final Context context);
 }

--- a/mobile/android/base/java/org/mozilla/gecko/adjust/StubAdjustHelper.java
+++ b/mobile/android/base/java/org/mozilla/gecko/adjust/StubAdjustHelper.java
@@ -12,16 +12,16 @@ public class StubAdjustHelper implements
     public void onCreate(final Context context, final String appToken) {
         // Do nothing.
     }
 
     public void onReceive(final Context context, final Intent intent) {
         // Do nothing.
     }
 
-    public void onResume() {
+    public void onResume(final Context context) {
         // Do nothing.
     }
 
-    public void onPause() {
+    public void onPause(final Context context) {
         // Do nothing.
     }
 }