With increased globalization and modernization of people's lives, lifestyle behavior has changed substantially in many countries around the world. This change has brought two key behavior modifications: a reduction in physical activity and an increase in unhealthy eating patterns. Consequently, non-communicable diseases have overtaken communicable diseases as a key health risk area. In response to this issue, healthy lifestyle initiatives and sport-fordevelopment (SFD) programs are now implemented across the world, including projects in the heavily affected Pacific Islands region. In this paper, the authors critically reflect on our lived experiences and the underpinning management processes of the Wokabaot Jalens, a health-focused SFD initiative in Vanuatu. The authors propose the sport-for-health model as a flexible conceptual tool that establishes the nexus between sport management, health promotion, sociocultural development, policy, and sustainability. The authors provide practical and theoretical implications and suggest that the model can underpin and conceptually support other SFD initiatives-and specifically health-related development projects-in the Pacific region and beyond.

Introduction: A mental health crisis has hit university campuses across the world. This study sought to determine the prevalence and social determinants of depressive symptoms among university students in twelve countries. Particular focus was placed on the association between social capital and depressive symptoms. Methods: A cross-sectional study was conducted among students at their first year at university in Europe, Asia, the Western Pacific, and Latin and North America. Data were obtained through a self-administered questionnaire, including questions on sociodemographic characteristics, depressive symptoms, and social capital. The simplified Beck's Depression Inventory was used to measure the severity of depressive symptoms. Social capital was assessed using items drawn from the World Bank Integrated Questionnaire to Measure Social Capital. Multilevel analyses were conducted to determine the relationship between social capital and depressive symptoms, adjusting for individual covariates (e.g., perceived stress) and country-level characteristics (e.g., economic development). Results: Among 4228 students, 48% presented clinically relevant depressive symptoms. Lower levels of cognitive (OR: 1.82, 95% CI: 1.44-2.29) and behavioral social capital (OR: 1.51, 95% CI: 1.29-1.76) were significantly associated with depressive symptoms. The likelihood of having depressive symptoms was also significantly higher among those living in regions with lower levels of social capital.

BackgroundThe work of The Global Observatory for Physical Activity-GoPA! is the first global effort to compile standardized country-level surveillance, policy and research data for physical activity in order to better understand how countries and regions address promoting physical activity. GoPA! developed standardized country-specific physical activity profiles (“Country Cards”) to summarize country-level data through 2013. The aim of this study was to assess use of the Country Cards, identify the factors associated with their use, and develop recommendations for supporting country-level physical activity promotion.MethodsCross sectional internet-based survey conducted between August–October 2016. Target study participants were national physical activity leaders and advocates in academia, government and practice from the GoPA! countries, and members of the International Society of Physical Activity and Health. A Country Card use composite score was created based on the diversity and frequency of use. Statistical analyses on the associations between the composite score and respondent characteristics, country characteristics, barriers and opinions were conducted (including descriptive analyses and a logistic regression with robust standard errors).ResultsOne hundred forty three participants from 68 countries completed the survey. Use of the Country Cards was associated with being part of the GoPA! network, knowing about the Country Cards, and on the stage of country capacity for physical activity promotion. Country Card knowledge varied by country income group, region and the country specific context. More diverse and frequent use of the cards (highest tertile of the composite score for use) was associated with: 1. Being a country contact vs general participant (OR 18.32–95% CI 5.63–59.55, p = 0.002), and 2. Collaborating with a government representative working in NCDs on a monthly or more frequent contact vs less frequent contact (OR 3.39–95% CI 1.00–11.54, P < 0.05).ConclusionsFor the Country Cards to have a broader impact, GoPA! will need to widen its reach beyond the academic sector. With further refinement of the cards, and training in their implementation, they could be an important tool for advancing country capacity for contextually-relevant strategies, actions and timelines for PA promotion.Electronic supplementary materialThe online version of this article (10.1186/s12966-018-0663-7) contains supplementary material, which is available to authorized users.

Population non-communicable disease (NCD) risk is among the highest in the world in the Pacific region. Increasing physical activity (PA) levels may be effective in reducing NCD risk in the developing and culturally diverse Pacific region. To describe the current practice in promoting PA in the Pacific, program information was sourced from NCD representatives from 19 countries during the Pacific NCD Forum (2009). Additional online searches were undertaken; health officials from 22 countries and NCD key informants from the Secretariat of the Pacific Community and from the World Health Organization were contacted. Eighty-four PA initiatives were identified in 20 Pacific Island countries: 26 took place in the workplace setting, 17 occurred in the school setting, 37 in the community setting and 4 in a clinical or health sector setting. Seventeen programs reached 100-500 individuals, 9 programs reached 500-1000 participants, 13 programs reached over 1000 participants and 3 programs targeted the whole population. The majority (51 of 84) of the programs commenced since 2006. There is a notable increase in the development of PA programs in multiple settings across the Pacific. Lead agencies are often the Ministry of Health offices with leadership support from high-level government positions.