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Professor Roger Yat-Nork CHUNG (鍾一諾教授)

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

Assistant Professor

JC School of Public Health and Primary Care

 

Email: rychung@cuhk.edu.hk

Division

Division of Health System, Policy and Management

Biography

Dr. Roger Chung is currently an Assistant Professor of the School of Public Health and Primary Care (SPHPC) of the Chinese University of Hong Kong (CUHK).  A social and lifecourse epidemiologist by training, he conceptualizes the population health and healthcare issues using the lens of health equity and social justice in the areas of social determinants of health, poverty and deprivation, migrants’ health, patients with serious illness (including patients with rare diseases and terminal illness) as well as aging-related issues of long-term/end-of-life care and multimorbidity to inform health services, system and policy.  He has had numerous publications including over 50 academic articles in leading high-impact peer-reviewed journals, book chapters and consultation reports.  Dr. Chung is a founding member of the Centre for Health Systems and Policy Research, a founding member of the Research Centre for Migration and Mobility, an executive member of the Centre for Global Health, Centre for Quality of Life, and an Assistant Professor (by courtesy) at the Institute of Ageing.  He is also an appointed member of the Public Health Global Challenge Steering Group of the Worldwide Universities Network (WUN), spearheading the direction of research and collaboration in public health for 23 international research universities in the world. 

Dr. Chung is the inaugural National Academy of Medicine (NAM) International Health Policy Fellow ’18-19, studying the issues of health equity and social determinants of health. He has been involved in two Government Food and Health Bureau commissioned projects on elderly and end-of-life care as well as healthcare resource allocation exercise, and  he is the principal investigator of a Hospital Authority consultancy study on the financing mechanism of medical assistance programs for people with serious illness and an impact study of rare diseases in Hong Kong.  He is also the Vice President of Hong Kong Life and Death Studies Association, a social enterprise integrating professional knowledge and ideas from a wide range of young professionals in innovating life and death education, advance care planning, long-term care and after-death arrangements in Hong Kong, and a well-known host of a radio programme on life and death education “Life 21 Grams” at D100, the only one in Hong Kong dedicated to the topic. 

Dr. Chung obtained the Bachelor of Arts (BA) degree in Public Health from Johns Hopkins University, Master of Health Science (MHS) from Johns Hopkins Bloomberg School of Public Health, and Doctor of Philosophy (PhD) degree from the School of Public Health of the University of Hong Kong.  His PhD dissertation was on the impact of socioeconomic development on population health, from which he also won the Presidential Award for Best Oral Presentation from the Hong Kong College of Community Medicine. 

 

Research Interests

 

Health inequality and social epidemiology

  • Social determinants of health

  • Disadvantage, social deprivation and vulnerability
    (Poverty and deprivation, socioeconomic disparity, migrants/ethnic minority, gender, and people with serious and chronic illness – rare diseases patients, terminally ill patients)

  • Aging (end-of-life care, long-term care, multimorbidity)

  • Public health ethics and justice

 

Dr. Chung’s research has been featured as the cover story of CUHK Newsletter (Nov Issue #507): click here

 

Selected Publications

 

Selected Journal Articles
(* = corresponding author)

 

Poverty, deprivation and socioeconomic disparity

  1. 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.

  2. 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.

  3. 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 age-period-cohort analysis from 1976 to 2010. Ann Epidemiol. 2018 Jun 13 (published online).

  4. 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.

  5. Wu HF, Tam T, Jin L, Lao XQ, Chung RY, Su XF, Zee B. Age, gender, and socioeconomic gradients in metabolic syndrome: biomarker evidence from a large sample in Taiwan, 2005-2013. Ann Epidemiol. 2017 May;27(5):315-322.e2.

  6. Lao XQ, Ma W, Chung RY, Zhang Y, Xu Y, Xu X, Nie S, Cai Q, Xia L, Su X, Jin L, Tam T, Zee BC. The diminishing socioeconomic disparity in obesity in a Chinese population with rapid economic development: analysis of serial cross-sectional health survey data 2002-2010. BMC Public Health. 2015 Dec 23;15(1):1282.

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

  8. 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.

  9. 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

  10. Wong CM, Ou CQ, Chan KP, Chau YK, Thach TQ, Yang L, Chung RY, Thomas GN, Peiris JSM, Wong TW, Hedley AJ, Lam TH. The effects of air pollution on mortality in socially deprived urban areas in Hong Kong, China. Environ Health Persp. 2008;116(9):1189-1194.

  11. Ou CQ, Hedley AJ, Chung RY, Thach TQ, Chau YK, Chan KP, Yang L, Ho SY, Wong CM, Lam TH. Socioeconomic disparities in air pollution-associated mortality. Environ Res. 2008;107(2):237-244.

 

Migrants’ health

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

  2. 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.

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

  4. Diaz E, Ortiz-Barreda G, Ben-Shlomo Y, Holdsworth M, Salami B, Rammohan A, Chung RY, Padmadas SS, Krafft T. Interventions to improve immigrant health. A scoping review. Eur J Public Health. 2017 Jun 1;27(3):433-439.

  5. 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.

 

Aging and people with serious and chronic illness

  1. 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.

  2. Yeoh EK, Wong MCS, Wong ELY, Yam C, Poon CM, Chung RY, Chong M, Fang Y, Wang HHX, Liang M, Cheung WWL, Chan CH, Zee B, Coats AJS. Benefits and limitations of implementing Chronic Care Model (CCM) in primary care programs: A systematic review. Int J Cardiol. 2018 May 1;258:279-288.

  3. Lau JY, Wong EL, Chung RY, Law SCK, Threapleton D, Kiang N, Chau P, Wong SYS, Woo J, Yeoh EK. Collaborate across silos: Perceived barriers to integration of care for the elderly from the perspectives of service providers. Int J Health Plann Manage. 2018 Apr 27.

  4. Threapleton DE, Chung RY, Wong SYS, Wong ELY, Kiang N, Chau PYK, Woo J, Chung VCH, Yeoh EK. Care Toward the End of Life in Older Populations and Its Implementation Facilitators and Barriers: A Scoping Review. J Am Med Dir Assoc. 2017 Dec 1;18(12):1000-1009.e4.

  5. Wong SY, Zou D, Chung RY, Sit RW, Zhang D, Chan D, Yeoh EK, Woo JW. Regular Source of Care for the Elderly: A Cross-National Comparative Study of Hong Kong With 11 Developed Countries. J Am Med Dir Assoc. 2017 Sep 1;18(9):807.e1-807.e8.

  6. Threapleton DE, Chung RY, Wong SYS, Wong E, Chau P, Woo J, Chung VCH, Yeoh EK. Integrated care for older populations and its implementation facilitators and barriers: A rapid scoping review. Int J Qual Health Care. 2017 Jun 1;29(3):327-334.

  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. Woo J, Chan YLH, Chong AMl, Zou M, Chung RY, Kwok CYT. Medical Ethical Principles May Drive Improvement of Quality of Dying in Hong Kong. Journal of Palliative Care & Medicine 2015;5(5):227-232.

  10. Wong MC, Liu J, Zhou S, Li S, Su X, Wang HH, Chung RY, Yip BH, Wong SY, Lau JT. The association between multimorbidity and poor adherence to cardiovascular medications. Int J Cardiol. 2014 Dec 15;177(2):477-82.

  11. 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.

 

Miscellaneous – Social and lifecourse epidemiology

  1. 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.

  2. Lai FTT, Wong SYS, Yip BHK, Guthrie B, Mercer SW, Chung RY, Chung GKK, Chau PYK, Wong ELY, Woo J, Yeoh EK. Multimorbidity in middle age predicts more subsequent hospital admissions than in older age: A nine-year retrospective cohort study of 121,188 discharged in-patients. Eur J Intern Med. 2018 Dec 20.

  3. Chung RY, Yip BH, Chan SS, Wong SY. Cohort effects of suicide mortality are sex specific in the rapidly developed Hong Kong Chinese population, 1976-2010. Depress Anxiety. 2015 Sep 28.

  4. Chung RY, Chan D, Woo J, Kwok T, Leung JC, Lai FT, Wong SY. Erectile Dysfunction is Associated with Subsequent Cardiovascular and Respiratory Mortality in Cohort of 1,436 Chinese Elderly Men. J Sex Med. 2015 Jul;12(7):1568-76.

  5. Chung RY, Leung JCS, Chan DCC, Woo J, Wong CKM, Wong SYS. Lower Urinary Tract Symptoms (LUTS) as a Risk Factor for Depressive Symptoms in Elderly Men: Results from a Large Prospective Study in Southern Chinese Men. PLoS One. 2013 Sep 30.

  6. Chung RY, Leung GM, Cowling BJ, Schooling CM. Patterns of and hypotheses for infection-related cancers in a Chinese population with rapid economic development. Epidemiol Infect. 2012 Oct;140(10):1904-19.

  7. 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. Am J Epidemiol. 2010 Feb 1;171(3):345-56.

 

Book Chapters

  1. Chung RY. “Silent Teachers – The Life and Death Education Behind Body Donation” [無言老師--遺體捐贈背後的生死教育課] (eds. Chan SO, Ng P) Ming Pao Press [明報出版社] July 2018.

  2. Chung RY, Wong SYS. "Health Inequality in Hong Kong". Poverty in a Rich Society ed. by Maggie KW Lau, David Gordon. Hong Kong: CUHK Press, 2017.

  3. Chung RY and Kim JH. "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.

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