Hierarchical models can provide more reasonable and stable parameter e
stimates than conventional analytical approaches. This technique also
deals with problems of multiple comparisons and allows one to model mu
ltilevel data within a hierarchical framework. Hence, one would antici
pate a surge in applying hierarchical models to epidemiologic data. Di
fficulties in fitting hierarchical models, however, seem to have limit
ed their use. To help address this problem, we describe the existing s
oftware packages that one can use to fit hierarchical models. Since th
ese packages have limited familiarity and applicability in epidemiolog
y, we also present SAS code for analyzing epidemiologic data with hier
archical models. These results allow epidemiologists to fit hierarchic
al models with readily available software.