Hierarchical regression - which attempts to improve standard regressio
n estimates by adding a second-stage 'prior' regression to an ordinary
model - provides a practical approach to evaluating multiple exposure
s. We present here a simulation study of logistic regression in which
we compare hierarchical regression fitted by a two-stage procedure to
ordinary maximum likelihood. The simulations were based on case-contro
l data on diet and breast cancer, where the hierarchical model uses a
second-stage regression to pull conventional dietary-item estimates to
ward each other when they have similar levels of food constituents. Ou
r results indicate that hierarchical modelling of continuous covariate
s offers worthwhile improvement over ordinary maximum-likelihood, prov
ided one does not underspecify the second-stage standard deviations.