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​Prof. Roger Yat-nork CHUNG 鍾一諾教授

鍾一諾教授

Prof. Roger Yat-nork CHUNG

BA (Johns Hopkins), MHS (Johns Hopkins), PhD (HKU)

副教授

電郵： rychung@cuhk.edu.hk

 

ORCID： 0000-0003-4407-8208

 

Scopus Author ID: 23988568600

​學術委任

  • 香港中文大學生命倫理學中心聯席總監

  • 香港中文大學健康公平研究所副主任

  • 香港中文大學老年學研究中心研究員(禮聘)

  • 美國國家醫學科學院(NAM)國際衞生政策研究員

  • 美國流行病學學會會員

個人簡介

鍾一諾教授於2011年加入香港中文大學公共衞生及基層醫療學院， 他利用生物醫學倫理和公平的視角進行研究，專注於對健康不平等的社會決定因素(包括貧困和健康、移民的健康、罕見病患者的健康)以及與老齡化有關的多病症和長期/晚期護理問題進行實證調查，並利用這些證據為國內外的衞生服務和政策提供建議。

 

鍾教授是香港中文大學健康公平研究所的創辦副主任，該研究所於2020年1月成立，由Michael Marmot爵士教授、楊永強教授和胡令芳教授共同擔任主任。同時，他也是衞生系統和政策研究中心及移民和流動研究中心的創始成員、及生活質素研究中心的執行委員以及老年學研究所的研究員（禮聘）。

 

在國際層面上，鍾教授是世界大學網絡(Worldwide Universities Network)公共衞生全球挑戰指導小組副主席，為全球23所國際研究型大學在公共衞生方面的研究和合作指引方向。2018年9月，鍾博士被著名的美國國家醫學院(National Academy of Medicine)選為其國際衞生政策研究員，在影響健康長壽的社會決定因素這方面進行研究。此外，他還曾在香港政府多個官方咨詢委員會任職，涉及食物及衞生局的香港醫療衞生總開支賬目和主題性住戶統計調查。他亦參與了兩個政府委托的，分別是關於老年/晚期護理和醫療資源分配工作的項目。另外，他還是一項醫院管理局醫療援助計劃的顧問研究的首席研究員，同時也曾接受香港罕見疾病聯盟委託進行本地罕見疾病的研究。鍾教授的研究還曾被中大通訊（11月第507期）用作封面故事。鍾教授亦曾發表多篇文章，其中包括80多篇高影響力期刊的學術文章、書籍章節及顧問報告。

 

此外，鍾教授還積極參與大學、學院、系所、校級服務以及具有相當影響力的對外社會服務 -- 他是香港生死學協會的副主席，該協會是一家整合了眾多年輕專業人員的專業知識及理念，致力於創新香港的生死教育、預先設照顧計劃、長期護理和善後安排的社會企業；他亦是香港唯一的生死教育電台節目《生命廿一克》的聯合主持人。在2019年，他還合編了暢銷及得奬書籍《生死教育講呢啲》。在學術領域外，他還是一位屢獲殊榮的著名音樂監製及歌手。

 

鍾教授於2005年取得美國約翰霍普金斯大學(Johns Hopkins University)公共衞生學士學位及約翰霍普金斯彭博公共衞生學院 (Johns Hopkins Bloomberg School of Public Health)衞生科學碩士學位，並於2011年取得香港大學公共衞生學院哲學博士學位，其博士研究課題為社會經濟發展對人口健康的影響，此研究還獲得了香港社區醫學學院頒發的Presidential Award for Best Oral Presentation。

研究方向

  • ​​健康公平和社會流行病學

    • 健康的社會決定因素

    • 社會經濟差距和健康梯度

    • 社會弱勢群體 (貧窮和匱乏、移民/少數民族、性別、嚴重疾病和慢性疾病患者----罕見病患者、絕症患者)

    • 公共衞生倫理及公義

  • 老齡化研究

    • 晚期和長期護理

    • 多重病症

近期獲資助研究項目

  • Research Grants Council (RGC) General Research Fund (GRF):

    • Individual-level Income Poverty and Deprivation as Predictors of Health. A Longitudinal Cohort Study in Hong Kong, $1,156,984

    • Employment Conditions and Health among Female Foreign Domestic Workers in Hong Kong. A Cross-sectional Quantitative Survey, $889,984

  • Social Innovation and Entrepreneurship Development (SIE) Fund Task Force and CUHK Committee on Knowledge Transfer (KTC):

    • ​​A Concept Musical Drama on End-of-Life Care and Death Attitudes in Hong Kong, $400,000

  • Other grants:

    • Worldwide Universities Network (WUN) Research Development Fund. Health & Social Impact of the COVID-19 Pandemic on Young People across the Socioeconomic Ladder: A Cross-Country Comparative Study, £20,000

    • CUHK Institute of Health Equity, Multi-dimensional Impacts of the Novel Coronavirus (COVID-19) on Vulnerable Populations in Hong Kong: A Mixed Method Study, $170,000

    • The Institute of Health Equity (IHE) at CUHK in Collaboration with University College London Institute of Health Equity, 01/01/2020-31/12/2024, $29,968,000

    • Health Needs, Treatment Access and Quality of Life among Rare Disease Patients and Their Caregivers, $360,000

    • Provision of Consultancy Service on Means Test of Samaritan Fund and Community Care Fund Medical Assistance Programmes, $1,480,000

部份學術文章

(* = corresponding author)​

​

Health Equity, Public Health Ethics, and Social Epidemiology

​

  1. Chung RY*, Chung GK, Chan SM, Chan YH, Wong H, Yeoh EK, Allen J, Woo J, Marmot M. Socioeconomic inequality in mental well-being associated with COVID-19 containment measures in a low-incidence Asian globalized city. Scientific Reports. 2021 Nov 30;11(1):23161. doi: 10.1038/s41598-021-02342-8.

  2. Chung GK, Lai FTT, Yeoh EK, Chung RY*. Gender-specific trends of educational inequality in diagnosed diabetes from 1999 to 2014 in Hong Kong: a serial cross-sectional study of 97,481 community-dwelling Chinese adults. Population Health Metrics. 2021 Oct 10;19(1):37. doi: 10.1186/s12963-021-00268-x.

  3. Wang K, Law CK, Zhao J, Hui AY, Yip BH, Yeoh EK, Chung RY*. Measuring health-related social deprivation in small areas: development of an index and examination of its association with cancer mortality. International Journal for Equity in Health. 2021 Sep 27;20(1):216. doi: 10.1186/s12939-021-01545-9.

  4. Chung GKK, Chan SM, Chan YH, Woo J, Wong H, Wong SY, Yeoh EK, Marmot M, Chung RY*.  Socioeconomic Patterns of COVID-19 Clusters in Low-Incidence City, Hong Kong. Emerging Infectious Diseases. 2021 Sep 1;27(11). (Early release) doi: 10.3201/eid2711.204840.

  5. Han Y, Chung RY*. Are both individual-level and county-level social capital associated with individual health? A serial cross-sectional analysis in China, 2010-2015. BMJ Open. 2021 Aug 11;11(8):e044616. doi: 10.1136/bmjopen-2020-044616.

  6. Chung GKK, Lai FTT, Hung H, Yeoh EK, Chung RY*. Differential educational patterning of cardiometabolic risks between women and men among community-dwelling Chinese adults in Hong Kong: the mediating role of obesity. Public Health Nutrition. 2021 May 26:1-33. doi: 10.1017/S1368980021002044.

  7. Chung RY*, Chung GK, Marmot M, Allen J, Chan D, Goldblatt P, Wong H, Lai E, Woo J, Yeoh EK, Wong SYS. COVID-19 related health inequality exists even in a city where disease incidence is relatively low: a telephone survey in Hong Kong. J Epidemiol Community Health. 2021 Jan 5:jech-2020-215392. doi: 10.1136/jech-2020-215392.

  8. Chung RY*, Marmot M, Mak JK, Gordon D, Chan D, Chung GK, Wong H, Wong SYS. Deprivation is associated with anxiety and stress. A population-based longitudinal household survey among Chinese adults in Hong Kong. J Epidemiol Community Health. 2020 Oct 24:jech-2020-214728. doi: 10.1136/jech-2020-214728.

  9. Wu Y, Yan X, Zhao S, Wang J, Ran J, Dong D, Wang M, Fung H, Yeoh EK, Chung RY*.  Association of time to diagnosis with socioeconomic position and geographical accessibility to healthcare among symptomatic COVID-19 patients: A retrospective study in Hong Kong. Health Place. 2020 Nov;66:102465. doi: 10.1016/j.healthplace.2020.102465. Epub 2020 Oct 17.

  10. Chung GKK, Lai FTT, Chan DC, Wong H, Yeoh EK, Chung RY*. Socioeconomic disadvantages over the life-course and their influence on obesity among older Hong Kong Chinese adults. Eur J Public Health. 2020 Oct 1;30(5):1013-1018. doi: 10.1093/eurpub/ckaa072. PMID: 32460329

  11. Chung RY*, Dong D, Li MM. Socioeconomic gradient in health and the covid-19 outbreak. BMJ. 2020 Apr 1;369:m1329. doi: 10.1136/bmj.m1329.

  12. Chung RY*, Erler A, Li HL, Au D. Using a Public Health Ethics Framework to Unpick Discrimination in COVID-19 Responses. Am J Bioeth. 2020 Jul;20(7):114-116. doi: 10.1080/15265161.2020.1779403.

  13. Li HL, Jecker NS, Chung RY. Reopening Economies during the COIVD-19 Pandemic: Reasoning about Value Tradeoffs. Am J Bioeth. 2020 Jul;20(7):136-138. doi: 10.1080/15265161.2020.1779406.

  14. Chung RY*, Mak JK. Physical and mental health of live-in female migrant domestic workers: A randomly sampled survey in Hong Kong. American Behavioral Scientist. 2020 Mar 18.

  15. Chung RY*, Liao T, Fong E. Data collection for migrant live-in domestic workers: A three-stage cluster sampling method. American Behavioral Scientist. 2020 Mar 14. 

  16. Chung RY*, Li MM.  Anti-Chinese sentiment during the 2019-nCoV outbreak. Lancet. 2020 Feb 29;395(10225):686-687. doi: 10.1016/S0140-6736(20)30358-5. Epub 2020 Feb 12.

  17. Chung RY*, Marmot M. People in Hong Kong have the longest life expectancy in the world: Some possible explanations. NAM Perspectives. Commentary, National Academy of Medicine, Washington, DC. 2020 Jan 21

  18. Chung GK, Dong D, Wong SY, Wong H, Chung RY*. Perceived poverty and health, and their roles in the poverty-health vicious cycle: a qualitative study of major stakeholders in the healthcare setting in Hong Kong.  Int J Equity Health. 2020 Jan 28;19(1):13. doi: 10.1186/s12939-020-1127-7.

  19. Chung RY*, Chung GK, Gordon D, Mak JK, Zhang LF, Chan D, Lai FTT, Wong H, Wong SY. Housing affordability effects on physical and mental health: household survey in a population with the world's greatest housing affordability stress. J Epidemiol Community Health. 2019 Nov 5.

  20. Chung GK, Lai FT, Yeoh EK, Chung RY*. Educational inequality in physician‐diagnosed hypertension widened and persisted among women from 1999 to 2014 in Hong Kong. Scientific Reports. 2019 Oct 7;9(1):1‐7

  21. Chung RY*, Chan DCC, Chau NN, Huang S, Wong H, Wong SY. Poverty affects access to regular source of primary care among the general population in Hong Kong. Social Policy and Administration. 2019; 1– 18 (2018 JCR Social Science Edition: IF = 1.269; Ranking = 26/42 in Social Issues)

  22. Griffiths SM, Dong D, Chung RY. Forgotten needs of children left behind by migration. Lancet. 2018 Dec 15;392(10164):2518‐2519.

  23. Cheung JTK, Tsoi VWY, Wong KHK, Chung RY*. Abuse and depression among Filipino foreign domestic helpers. A cross‐sectional survey in Hong Kong. Public Health. 2018 Nov 23;166:121‐127.

  24. Wong SY, Chung RY, Chan D, Chung GK, Li J, Mak D, Lau M, Tang V, Gordon D, Wong H. What are the financial barriers to medical care among the poor, the sick and the disabled in the Special Administrative Region of China? PLoS One. 2018 Nov 14;13(11):e0205794.

  25. Chung GK, Chung RY*, Chan DC, Lai FT, Wong H, Lau MK, Wong SY, Yeoh EK. The independent role of deprivation in abdominal obesity beyond income poverty. A population‐based household survey in Chinese adults. J Public Health (Oxf). 2018 Sep 12.

  26. Chung RY*, Lai FTT, Chung GKK, Yip BHK, Wong SYS, Yeoh EK. Socioeconomic disparity in mortality risks widened across generations during rapid economic development in Hong Kong: an ageperiod‐ cohort analysis from 1976 to 2010. Ann Epidemiol. 2018 Jun 13 (published online).

  27. Chung RY*, Gordon D, Wong SYS, Chan D, Chung KK, Lau M, Tang V, Wong H. Deprivation is associated with Worse Physical and Mental Health beyond Income Poverty. A Population‐based Household Survey among Chinese Adults. Qual Life Res. 2018 May 14.

  28. Chung RY, Griffiths SM. Migration and health in the world: a global public health perspective. Public Health. 2018 May;158:64‐65.

  29. Chung RY*, Wong SYS. Health inequality in Hong Kong. China Review‐An Interdisciplinary Journal on Greater China 2015;15(2):91‐118.

  30. Chung RY, Mercer S, Lai FT, Yip BH, Wong MC, Wong SY. Socioeconomic Determinants of Multimorbidity: A Population‐Based Household Survey of Hong Kong Chinese. PLoS One. 2015 Oct 9;10(10):e0140040.

  31. Li H, Wei X, Ma A, Chung RY*. Inequalities in Health Status among Rural Residents: EQ‐5D Findings from Household Survey China. International Journal for Equity in Health. 2014;13:41

  32. Li H, Chung RY*, Wei X, Mou J, Wong SY, Wong MC, Zhang D, Zhang Y, Griffiths S. Comparison of perceived quality amongst migrant and local patients using primary health care delivered by community health centres in Shenzhen, China. BMC Fam Pract. 2014 Apr 29;15(1):76.​

  33. Chung RY, Leung GM, Cowling BJ, Schooling CM. Patterns of and hypotheses for infection-related cancers in a Chinese population with rapid economic development. Epidemiology and Infection. 2012 Oct;140(10):1904-19. doi: 10.1017/S0950268811002469.

  34. Chung RY, Schooling CM, Cowling BJ, Leung GM. How does socioeconomic development affect risk of mortality? An age-period-cohort analysis from a recently transitioned population in China. American Journal of Epidemiology. 2010 Feb 1;171(3):345-56. doi: 10.1093/aje/kwp378

​

​ Aging-related Research

​

  1. Chung RY*, Lai DCK, Hui AY, Chau PY, Wong EL, Yeoh EK, Woo J. Healthcare inequalities in emergency visits and hospitalisation at the end of life: a study of 395 019 public hospital records. BMJ Supportive and Palliative Care. 2021 May 18. doi: 10.1136/bmjspcare-2020-002800.

  2. Chung RY*, Dong D, Chau NNS, Chau PYK, Yeoh EK, Wong ELY. Examining the Gaps and Issues of End-of-Life Care among Older Population through the Lens of Socioecological Model—A Multi-Method Qualitative Study of Hong Kong. International Journal of Environmental Research and Public Health. 2020 Jul 14;17(14):5072. doi: 10.3390/ijerph17145072.

  3. Lai FTT, Guthrie B, Wong SYS, Yip BHK, Chung GKK, Yeoh, EK, Chung RY*. Sex-specific intergenerational trends in morbidity burden and multimorbidity status in Hong Kong community: an age-period-cohort analysis of repeated population surveys. BMJ Open. 2019 Jan 25;9. doi: 10.1136/bmjopen-2018-023927.

  4. Chung RY*, Tsoi KKF, Kyaw MH, Lui AR, Lai FTT, Sung JJ. A population-based age-period-cohort study of colorectal cancer incidence comparing Asia against the West. Cancer Epidemiology. 2019 Jan 16;59:29-36. doi: 10.1016/j.canep.2019.01.007.

  5. Chung RY*, Dong D, Chau NNS, Chau PY, Yeoh EK, Wong EL. Examining the Gaps and Issues of End-of-Life Care among Older Population through the Lens of Socioecological Model-A Multi-Method Qualitative Study of Hong Kong.  Int J Environ Res Public Health. 2020 Jul 14;17(14):5072. doi: 10.3390/ijerph17145072.

  6. Lai FTT, Guthrie B, Wong SYS, Yip BHK, Chung GKK, Yeoh, EK, Chung RY*. Sex‐specific intergenerational trends in morbidity burden and multimorbidity status in Hong Kong community: an age‐period‐cohort analysis of repeated population surveys. BMJ Open. 2019 Jan 25;9.​

  7. Chung RY*, Wong EL, Kiang N, Chau PY, Lau JYC, Wong SY, Yeoh EK, Woo JW. Knowledge, Attitudes, and Preferences of Advance Decisions, End‐of‐Life Care, and Place of Care and Death in Hong Kong. A Population‐Based Telephone Survey of 1067 Adults. J Am Med Dir Assoc. 2017 Apr 1;18(4):367.e19‐367.e27.

  8. Chung RY, Mercer SW, Yip BHK, Chan SWC, Lai FTT, Wang HHX, Wong MCS, Wong CKM, Sit RWS, Yeoh EK, Wong SYS. The association between types of regular primary care and hospitalization among people with and without multimorbidity. A household survey on 25,780 Chinese. Scientific Reports. 2016 Jul 20;6:29758.

  9. Chung RY, Tin KYK, Cowling BJ, Chan KP, Chan WM, Lo SV, Leung GM. Long‐term care cost drivers and expenditure projection to 2036 in Hong Kong. BMC Health Serv Res. 2009 Sep 24;9:172.

​

Book Chapters

​

  1. Chung RY, Yeoh EK. “Chapter 3 – Policy Directions for End-of-Life Care in Hong Kong.” Innovation Impact. The Foundation of Community-Based End-of-life Care in Hong Kong ed. by Chan IKN, Fong CHC, Wong EY, Lou VWQ and Chan CLW. Hong Kong: JCECC; 2019.

  2. Chung RY, Wong SYS. “Health Inequality in Hong Kong”. Poverty in a Rich Society ed. by Lau KW, David G. Hong Kong: CUHK Press; 2017.

  3. Chung RY and Kim JH. “Chapter 9 – Epidemiology: from Observation to Public Health Action”. Routledge Handbook of Global Public Health in Asia ed. by Griffiths SM, Tang JL and Yeoh EK. pp.118–132. Routledge, London and New York; 2014.

Last Updated: 21 December 2021