--- a/mobile/android/base/java/org/mozilla/gecko/BrowserApp.java
+++ b/mobile/android/base/java/org/mozilla/gecko/BrowserApp.java
@@ -694,20 +694,19 @@ 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);
-            }
+            // TODO: If this is the first run with the new Adjust config, we need to get the health report upload value
+            // and setEnabled with it.
+            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) {

--- a/mobile/android/base/java/org/mozilla/gecko/adjust/AdjustHelper.java
+++ b/mobile/android/base/java/org/mozilla/gecko/adjust/AdjustHelper.java
@@ -27,12 +27,16 @@ public class AdjustHelper implements Adj
             appToken = "ABCDEFGHIJKL";
             logLevel = LogLevel.VERBOSE;
         }
         AdjustConfig config = new AdjustConfig(context, appToken, environment);
         config.setLogLevel(logLevel);
         Adjust.onCreate(config);
     }
 
+    public void setEnabled(final boolean isEnabled) {
+        Adjust.setEnabled(isEnabled);
+    }
+
     public void onReceive(final Context context, final Intent intent) {
         new AdjustReferrerReceiver().onReceive(context, intent);
     }
 }

--- a/mobile/android/base/java/org/mozilla/gecko/adjust/AdjustHelperInterface.java
+++ b/mobile/android/base/java/org/mozilla/gecko/adjust/AdjustHelperInterface.java
@@ -9,10 +9,11 @@ import android.content.Context;
 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 setEnabled(final boolean isEnabled);
     void onReceive(final Context context, final Intent intent);
 }

--- a/mobile/android/base/java/org/mozilla/gecko/adjust/StubAdjustHelper.java
+++ b/mobile/android/base/java/org/mozilla/gecko/adjust/StubAdjustHelper.java
@@ -8,12 +8,16 @@ package org.mozilla.gecko.adjust;
 import android.content.Context;
 import android.content.Intent;
 
 public class StubAdjustHelper implements AdjustHelperInterface {
     public void onCreate(final Context context, final String appToken) {
         // Do nothing.
     }
 
+    public void setEnabled(final boolean isEnabled) {
+        // Do nothing.
+    }
+
     public void onReceive(final Context context, final Intent intent) {
         // Do nothing.
     }
 }

--- a/mobile/android/base/java/org/mozilla/gecko/preferences/GeckoPreferences.java
+++ b/mobile/android/base/java/org/mozilla/gecko/preferences/GeckoPreferences.java
@@ -2,16 +2,17 @@
  * 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.preferences;
 
 import android.annotation.TargetApi;
 import org.mozilla.gecko.AboutPages;
+import org.mozilla.gecko.AdjustConstants;
 import org.mozilla.gecko.AppConstants;
 import org.mozilla.gecko.AppConstants.Versions;
 import org.mozilla.gecko.BrowserApp;
 import org.mozilla.gecko.BrowserLocaleManager;
 import org.mozilla.gecko.DataReportingNotification;
 import org.mozilla.gecko.EventDispatcher;
 import org.mozilla.gecko.GeckoActivityStatus;
 import org.mozilla.gecko.GeckoAppShell;
@@ -1178,17 +1179,19 @@ OnSharedPreferenceChangeListener
             UpdateServiceHelper.setAutoDownloadPolicy(this, UpdateService.AutoDownloadPolicy.get((String) newValue));
         } else if (PREFS_UPDATER_URL.equals(prefName)) {
             UpdateServiceHelper.setUpdateUrl(this, (String) newValue);
         } else if (PREFS_HEALTHREPORT_UPLOAD_ENABLED.equals(prefName)) {
             // The healthreport pref only lives in Android, so we do not persist
             // to Gecko, but we do broadcast intent to the health report
             // background uploader service, which will start or stop the
             // repeated background upload attempts.
-            broadcastHealthReportUploadPref(this, (Boolean) newValue);
+            final Boolean newBooleanValue = (Boolean) newValue;
+            broadcastHealthReportUploadPref(this, newBooleanValue);
+            AdjustConstants.getAdjustHelper().setEnabled(newBooleanValue);
         } else if (PREFS_GEO_REPORTING.equals(prefName)) {
             broadcastStumblerPref(this, (Boolean) newValue);
             // Translate boolean value to int for geo reporting pref.
             newValue = (Boolean) newValue ? 1 : 0;
         } else if (handlers.containsKey(prefName)) {
             PrefHandler handler = handlers.get(prefName);
             handler.onChange(this, preference, newValue);
         }