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UCSF INSTITUTE FOR HEALTH & AGING   ◊   UNIVERSITY OF CALIFORNIA, SAN FRANCISCO

Hai-Yen Sung, Ph.D.

Hai-Yen Sung, photo
Hai-Yen Sung

Email:  Hai-Yen.Sung@ucsf.edu
Telephone:  (415) 502-4697

Hai-Yen Sung, Ph.D. is Associate Adjunct Professor at the Institute for Health & Aging and the Department of Social and Behavioral Sciences.

She received her Ph.D. in Agriculture Economics from the University of California, Berkeley where she was also a NIA postdoctoral fellow in Economics of Aging and Health Services Research.

Dr. Sung's research activities have focused on the economics of tobacco control and policy, cancer screening and outcomes, and economic costs of illness and smoking.  Examples of tobacco control research include assessing the effects of taxation, anti-smoking media campaign, regulation, tobacco industry's advertising, over-the-counter nicotine replacement drugs, and national tobacco settlement on cigarette smoking; examining the relationship among the use of smoking cessation programs, smoking cessation behavior, and medical care utilization and costs.

Examples of cancer and outcomes research include the effects of screening intervals and follow-up on the risk of cervical cancer incidence among HMO enrollees; evaluation of quality of care for HMO members with chronic conditions, and risk-adjusted hospital outcomes.

Examples of costs of illness research include estimating the direct and indirect costs of chronic illness, osteoporosis, gender-specific cancers, and smoking.

Recent Projects

Title: Cigarette Price Sensitivity of Smokers with Comorbid Alcohol, Drug, or Mental Disorders
Project Period:  3/01/07-2/29/08 (Co-Investigator)
Funding Agency:  Robert Wood Johnson Foundation, Substance Abuse Policy Research Program
Description:  The goals of this project are to (1) determine if the price elasticity of cigarette smoking participation among individuals with comorbid alcohol, drug, or mental (ADM) disorders differs depending on the specific comorbidity, and (2) determine whether factors, such as treatment of ADM disorders, exist that increase the likelihood that smokers with comorbid ADM disorders will quit following a cigarette tax increase.

Title: Tobacco Control Policy Analysis & Intervention Evaluation in China
Project Period:  7/01/02-6/30/07 (Co-Investigator)
Funding Agency:  NIH, Fogarty International Center
Description:  This project aims to increase research capacity among Chinese researchers on tobacco control and evaluation research with collaborators from University of California, the World Bank, Chinese Ministry of Health, Chinese Center for Disease Control and Prevention, Sichuan University, Fudan University, and Beijing University.  Studies will examine the economic costs of smoking, the environmental risks of smoking, the impact of tobacco control and international trade policies on China's cigarette consumption, tobacco agricultural sector and tobacco industry, and the cost-effectiveness of tobacco control interventions.

Title: The Disproportionate Cost of Smoking for Communities of Color
Project Period: 7/1/2004-6/30/2006 (Co-Investigator)
Funding Agency: California Tobacco-Related Disease Research Program
Description:  The purpose of this project is to estimate smoking-attributable costs for African Americans, Hispanics, and others in California for 2002 with three specific aims are to estimate (1) the direct costs of smoking-related illness, (2) the value of lost productivity from smoking-related illness, and (3) losses resulting from smoking-caused mortality.

Title: Smoking Cessation and Medical Care Use/Costs in a Large HMO
Project Period:  7/1/03-6/30/06
Funding Agency: California Tobacco-Related Disease Research Program
Description: This study examines the association between the use of smoking cessation programs and individual's smoking cessation behavior, and assesses the impact of smoking cessation on medical care utilization and costs among members of a large managed care health plan in Northern California.  It also determines if excess costs are incurred by current smokers and former smokers compared with never smokers, if the magnitude of excess costs by former smokers diminishes over time after quitting, if the excess costs are mainly caused by treating tobacco-related diseases, and if there are gender-specific differences in the excess costs. 

Title: The Cost of Breast Cancer in California
Project Period:  7/1/2003-6/30/2006 (Co-Investigator)
Funding Agency:  California Breast Cancer Research Program
Description:  The purpose of this research is to estimate (1) the annual cost of breast cancer in California, including direct health care costs, (2) the value of lost productivity for those living with the disease, and (3) the value of lives lost prematurely.

Publications

Journal Articles

Sung HY, Wang L, Jin S, Hu TW, Jiang Y.  Economic burden of smoking in China, 2000. Tobacco Control, 15(Suppl 1):i5-11, 2006.

Sung HY, Hu TW, Ong M, Keeler TE, Sheu ML.  A major state tobacco tax increase, the national tobacco settlement, and cigarette consumption: the California experience.  American Journal of Public Health, 95(6): 1030-1035, 2005. 

Sawaya GF, Sung HY, Kinney W, Kearney KA, Miller MG, Hiatt RA.  Cervical cancer following multiple negative cytologic tests in long-term members of a prepaid health plan.  Acta Cytologica, 49(4): 391-397, 2005.

Sheu ML, Hu TW, Keeler TE, Ong M, Sung HY.  The effect of a major cigarette price change on smoking behavior in California: a zero-inflated negative binomial model.  Health Economics, 13(8): 781-791, 2004.

Keeler TE, Hu TW, Ong M, Sung HY.  The U.S. national tobacco settlement: the effects of advertising and price changes on cigarette consumption.  Applied Economics, 36(15): 1623-1629, 2004.

Max W, Rice DP, Sung HY, Zhang X, Miller L.  The economic burden of smoking in California.  Tobacco Control, 13(3): 264-267, 2004.

Chan PG, Sung HY, Sawaya GF.  Changes in cervical cancer incidence after 3 decades of screening U.S. women under age 30 years.  Obstetrics & Gynecology, 102(4): 765-773, 2003.

Kinney W, Sawaya GF, Sung HY, Kearney KA, Miller M, Hiatt RA.  Stage at diagnosis and mortality in patients with adenocarcinoma and adenosquamous carcinoma of the uterine cervix diagnosed as a consequence of cytologic screening.  Acta Cytologica, 47(2):167-171, 2003.

Tsai YW, Sung HY, Yang CL, Shih SF.  The behaviour of purchasing smuggled cigarettes in Taiwan.  Tobacco Control, 12(1):28-33, 2003.

Max W, Rice DP, Sung HY, Michel M, Breuer W, Zhang X.  The economic burden of gynecologic cancers in California, 1998.  Gynecologic Oncology, 88(2):96-103, 2003.

Miller MG, Sung HY, Sawaya GF, Kearney KA, Kinney W, Hiatt RA.  Screening interval and risk of invasive squamous cell cervical cancer.  Obstetrics & Gynecology, 101(1): 29-37, 2003.

Keeler TE, Hu TW, Keith A, Manning R, Marciniak MD, Ong M, Sung HY.  The benefits of switching smoking cessation drugs to over-the-counter status.  Health Economics, 11(5):389-402, 2002.

Max W, Sinnott P, Kao C, Sung HY, Rice DP.  The burden of osteoporosis in California, 1998.  Osteoporosis International, 13(6):493-500, 2002. 

Max W, Rice DP, Sung HY, Michel M, Breuer W, Zhang X.  The economic burden of prostate cancer, California, 1998.  Cancer, 94(11):2906-2913, 2002. 

Sawaya GF, Sung HY, Kearney KA, Miller M, Kinney W, Hiatt RA, Mandelblatt J.  Advancing age and cervical cancer screening and prognosis.  Journal of the American Geriatrics Society, 49(11):1499-1504, 2001.

Keeler TE, Hu TW, Manning WG, Sung HY.  State tobacco taxation, education and smoking: controlling for the effects of omitted variables.  National Tax Journal, 54(1):83-102, 2001. 

Hu TW, Sung HY, Keeler TE, Marciniak M.  Cigarette consumption and sales of nicotine replacement products.  Tobacco Control, 9(Suppl 2):ii60-ii63, 2000. 

Sung HY, Kearney KA, Miller M, Kinney W, Sawaya GF, Hiatt RA.  Papanicolaou smear history and diagnosis of invasive carcinoma among members of a large prepaid health plan.  Cancer, 88(10):2283-9, 2000. 

Kinney W, Sung HY, Kearney KA, Miller M, Sawaya G, Hiatt RA.  Missed opportunities for cervical cancer screening of HMO members developing invasive cervical cancer (ICC).  Gynecologic Oncology, 71(3):428-430, 1998. 

Hoffman C, Rice D, Sung HY.  Persons with chronic conditions. Their prevalence and costs.  The Journal of the American Medical Association, 276(18):1473-1479, 1996. 

Theodore KE, Hu TW, Barnett PG, Manning WG, Sung HY.  Do cigarette producers price-discriminate by state?  An empirical analysis of local cigarette pricing and taxation.  Journal of Health Economics, 15(4):499-512, 1996. 

Hu TW, Sung TW, Keeler TE.  Reducing cigarette consumption in California: tobacco taxes vs an anti-smoking media campaign.  American Journal of Public Health, 85(9):1218-1222, 1995. 

Hu TW, Keeler TE, Sung HY, Barnett PG.  The impact of California anti-smoking legislation on cigarette sales, consumption, and prices.  Tobacco Control, 4(suppl 1): S34-S38, 1995. 

Hu TW, Sung HY, Keeler TE.  The state antismoking campaign and the industry response: the effects of advertising on cigarette consumption in California.  American Economic Review, 85(2):85-90, 1995. 

Sung HY, Hu TW, Keeler TE.  Cigarette taxation and demand: an empirical model.  Contemporary Economic Policy, 12(3):91-100, 1994. 

Scheffler RM., Clement DG, Sullivan SD, Hu TW, Sung HY.  The hospital response to Medicare's Prospective Payment System: an econometric model of Blue Cross and Blue Shield Plans. Medical Care, 32(5):471-485, 1994. 

Hu TW, Bai J, Keeler TE, Barnett PG, Sung HY.  The impact of 1989 California Proposition 99: a major anti-smoking legislation on cigarette consumption.  Journal of Public Health Policy,15(1):26-36, 1994. 


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