Existing studies examining country differences in experiencing negative consequences from drinking have either focused on aggregate statistics of harm such as mortality and morbidity from different alcohol-related causes (e.g., 15)) or compared a small number of countries (16, 17) often within the same region (18–20). This paper examines gender and country-level patterns of negative consequences from drinking using data from a large number of countries representing most regions of the world. The specific objectives are: