“…Third, all the models considered here use the data twice because the data at the PH level are an aggregation of the county-level data. To overcome this issue, multilevel models with spatial interaction effects (Browne, Goldstein, & Rasbash, 2001;Chaix, Merlo, & Chauvin, 2005;Dong, Harris, Jones, & Yu, 2015;Langford, Leyland, Rasbash, & Goldstein, 1999) could be considered.…”