学院教职员

教学人员
Roger-Chung-1-2.jpg

钟一诺教授

Prof. Roger Yat-nork CHUNG

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

助理教授

学术委任

  • 香港中文大学大健康公平研究所副主任

  • 香港中文大学老年学研究中心研究员(礼聘)

  • 美国国家医学科学院(NAM)国际卫生政策研究员

个人简介

锺一诺教授于2011年加入香港中文大学公共衞生及基层医疗学院, 他利用生物医学伦理和公平的视角进行研究,专注于对健康不平等的社会决定因素(包括贫困和健康、移民的健康、罕见病患者的健康)以及与老龄化有关的多病症和长期/晚期护理问题进行实证调查,并利用这些证据为国内外的衞生服务和政策提供建议。

 

锺教授是香港中文大学健康公平研究所的创办副主任,该研究所于2020年1月成立,由Michael Marmot爵士教授、杨永强教授和胡令芳教授共同担任主任。同时,他也是衞生系统和政策研究中心及移民和流动研究中心的创始成员、及生活质素研究中心的执行委员以及老年学研究所的研究员(礼聘)。

 

在国际层面上,锺教授是世界大学网络(Worldwide Universities Network)公共衞生全球挑战指导小组副主席,为全球23所国际研究型大学在公共衞生方面的研究和合作指引方向。2018年9月,锺博士被着名的美国国家医学院(National Academy of Medicine)选为其国际衞生政策研究员,在影响健康长寿的社会决定因素这方面进行研究。此外,他还曾在香港政府多个官方咨询委员会任职,涉及食物及衞生局的香港医疗衞生总开支账目和主题性住户统计调查。他亦参与了两个政府委托的,分别是关于老年/晚期护理和医疗资源分配工作的项目。另外,他还是一项医院管理局医疗援助计划的顾问研究的首席研究员,同时也曾接受香港罕见疾病联盟委託进行本地罕见疾病的研究。锺教授的研究还曾被中大通讯(11月第507期)用作封面故事。锺教授亦曾發表多篇文章,其中包括80多篇高影响力期刊的学术文章、书籍章节及顾问报告。

 

此外,锺教授还积极参与大学、学院、系所、校级服务以及具有相当影响力的对外社会服务 -- 他是香港生死学协会的副主席,该协会是一家整合了众多年轻专业人员的专业知识及理念,致力于创新香港的生死教育、预先设照顾计划、长期护理和善后安排的社会企业;他亦是香港唯一的生死教育电台节目《生命廿一克》的联合主持人。在2019年,他还合编了畅销及得奬书籍《生死教育讲呢啲》。在学术领域外,他还是一位屡获殊荣的着名音乐监製及歌手。

 

锺教授于2005年取得美国约翰霍普金斯大学(Johns Hopkins University)公共衞生学士学位及约翰霍普金斯彭博公共衞生学院 (Johns Hopkins Bloomberg School of Public Health)衞生科学硕士学位,并于2011年取得香港大学公共衞生学院哲学博士学位,其博士研究课题为社会经济發展对人口健康的影响,此研究还获得了香港社区医学学院颁發的Presidential Award for Best Oral Presentation。

研究方向

  • 健康公平和社会流行病学

    • 健康的社会决定因素

    • 社会经济差距和健康梯度

    • 社会弱势群体 (贫穷和匮乏、移民/少数民族、性别、严重疾病和慢性疾病患者----罕见病患者、绝症患者)

    • 公共衞生伦理及公义

  • 老龄化研究

    • 晚期和长期护理

    • 多重病症

近期获资助研究项目

  • 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

部份学术文章

(* = corresponding author)​

Poverty, deprivation and socioeconomic disparity

  1. 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.

  2. 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.

  3. 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.

  4. 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

  5. Wu Y, Yan X, Dong D, Chung RY, Yeoh EK. Equitable exit strategy is required: lessons learnt from Hong Kong's current resurgence of local outbreaks among individuals from highly deprived neighbourhoods. J Epidemiol Community Health. 2020 Dec;74(12):1080. doi: 10.1136/jech-2020-215347. Epub 2020 Sep 5.

  6. Chan SM, Wong H, Chung RY, Au-Yeung TC. Association of living density with anxiety and stress: A cross-sectional population study in Hong Kong. Health Soc Care Community. 2020 Aug 12. doi: 10.1111/hsc.13136. 

  7. Chung GKK, Yu RHY, Woo J, Lai FTT, Chung RY, Yeoh EK, Ho SC. Accelerated progression of waist-to-hip ratio but not body mass index associated with lower socioeconomic position: a cohort study of nonobese early postmenopausal Chinese women. Menopause. 2020 May;27(5):550-558. doi: 10.1097/GME.0000000000001503.

  8. 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.

  9. 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.

  10. 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.

  11. 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

  12. 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)

  13. 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.

  14. 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.

  15. 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).

  16. 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.

  17. 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.

  18. 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.

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

  20. 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.

  21. 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

  22. 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.

  23. 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.

Public health ethics and justice

  1. 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.

  2. 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.

  3. 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.

Migrants’ health

  1. 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.

  2. 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. 

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

  4. 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.

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

  6. 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.

  7. 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, Mercer SW, Smith DJ, Yip BHK, Chung GKK, Lee KP, Chung RY, Chau PYK, Wong ELY, Yeoh EK, Wong SYS. Association between antipsychotic use and acute ischemic heart disease in women but not in men: a retrospective cohort study of over one million primary care patients. BMC Med. 2020 Nov 2;18(1):289. doi: 10.1186/s12916-020-01765-w.

  2. Wong SYS, Zhang D, Sit RWS, Yip BHK, Chung RY, Wong CKM, Chan DCC, Sun W, Kwok KO, Mercer SW. Impact of COVID-19 on loneliness, mental health, and health service utilisation: a prospective cohort study of older adults with multimorbidity in primary care. Br J Gen Pract. 2020 Oct 29;70(700):e817-e824. doi: 10.3399/bjgp20X713021.

  3. Dong D, Chung RY, Chan RHW, Gong S, Xu RH. Why is misdiagnosis more likely among some people with rare diseases than others? Insights from a population-based cross-sectional study in China.  Orphanet J Rare Dis. 2020 Oct 28;15(1):307. doi: 10.1186/s13023-020-01587-2.

  4. Wong EL, Kiang N, Chung RY, Lau J, Chau PY, Wong SY, Woo J, Chan EY, Yeoh EK. Cite Share  Quality of Palliative and End-Of-Life Care in Hong Kong: Perspectives of Healthcare Providers. Int J Environ Res Public Health. 2020 Jul 16;17(14):5130. doi: 10.3390/ijerph17145130.

  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. Chung GKK, Yu RHY, Ho SSY, Woo J, Chung RY, Yeoh EK, Ho SC. Prospective Association of Obesity Patterns with Subclinical Carotid Plaque Development in Early Postmenopausal Chinese Women. Obesity (Silver Spring). 2020 Jul;28(7):1342-1350. doi: 10.1002/oby.22820.

  7. Lai FTT, Mercer SW, Guthrie B, Yip BHK, Chung GKK, Zou D, Lee KP, Chau PYK, Chung RY, Wong ELY, Yeoh EK, Wong SYS. Sociodemographic moderation of the association between depression and stroke incidence in a retrospective cohort of 0.4 million primary care recipients with hypertension. Psychol Med. 2020 Jun 11:1-9. doi: 10.1017/S0033291720001920.

  8. 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.​

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. 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.

  17. 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.

  18. 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.

  19. 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. Wong EL, Liao JM, Etherton-Beer C, Baldassar L, Cheung G, Dale CM, Flo E, Husebø BS, Lay-Yee R, Millard A, Peri KA, Thokala P, Wong CH, Chau PY, Chan CY, Chung RY, Yeoh EK.  Scoping Review: Intergenerational Resource Transfer and Possible Enabling Factors. Int J Environ Res Public Health. 2020 Oct 27;17(21):7868. doi: 10.3390/ijerph17217868.

  2. 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.

  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. “思考原則--生命倫理看生死”. [生死教育講呢啲] (ed. 伍桂麟、鍾一諾、梁梓敦), P.035-038, 明窗出版社, 2019.07

  2. Chung RY. “從高錕離世再思臨終照顧”. [生死教育講呢啲] (ed. 伍桂麟、鍾一諾、梁梓敦), P.142-146, 明窗出版社, 2019.07.

  3. 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. JCECC; 2019.

  4. 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.

  5. 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.

  6. 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.

Last Updated: 22 July 2020