A significant positive relationship was found between country-level usual quantity and scores on negative personal and social consequences (but not high endorsement consequences) in the country-only and full models, indicating a higher rate of problems in countries where more was consumed per occasion, even when individual-level measures and interaction terms were in the models. There were also significant negative interactions of country-level usual quantity with individual-level usual quantity for all three types of consequences, suggesting a stronger positive relationship between negative consequences and quantity per occasion for individuals in countries where the average usual quantity consumed in the country was lower.