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This study undertook cross\u2010country analysis of drinking across gender, age groups in some high\u2010and middle\u2010income countries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and Methods<\/jats:title><jats:p>Surveys of drinkers were conducted in Australia, England, Scotland, New Zealand, St Kitts and Nevis (high\u2010income), Thailand, South Africa, Mongolia and Vietnam (middle\u2010income) as part of the International Alcohol Control Study. Drinking pattern measures were high\u2010frequency, heavier\u2010typical quantity and higher\u2010risk drinking. Differences in the drinking patterns across age and gender groups were calculated. Logistic regression models were applied including a measure of country\u2010level income.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Percentages of high\u2010frequency, heavier\u2010typical quantity and higher\u2010risk drinking were greater among men than in women in all countries. Older age was associated with drinking more frequently but smaller typical quantities especially in high\u2010income countries. Middle\u2010income countries overall showed less frequent but heavier typical quantities; however, the lower frequencies meant the percentages of higher risk drinkers were lower overall compared with high\u2010income countries (with the exception of South Africa).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>High\u2010frequency drinking was greater in high\u2010income countries, particularly in older age groups. Middle\u2010income countries overall showed less frequent drinking but heavier typical quantities. As alcohol use becomes more normalised as a result of the expansion of commercial alcohol it is likely frequency of drinking will increase with a likelihood of greater numbers drinking at higher risk levels.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.12820","type":"journal-article","created":{"date-parts":[[2018,6,14]],"date-time":"2018-06-14T06:36:35Z","timestamp":1528958195000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":72,"title":["Drinking patterns vary by gender, age and country\u2010level income: Cross\u2010country analysis of the International Alcohol Control Study"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5863-9382","authenticated-orcid":false,"given":"Surasak","family":"Chaiyasong","sequence":"first","affiliation":[{"name":"Health Promotion Policy Research Center, International Health Policy Program  Nonthaburi Thailand"},{"name":"Social Pharmacy Research Unit, Faculty of Pharmacy Mahasarakham University  Maha Sarakham Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0669-0685","authenticated-orcid":false,"given":"Taisia","family":"Huckle","sequence":"additional","affiliation":[{"name":"Massey University, SHORE and Whariki Research Centre  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne\u2010Marie","family":"Mackintosh","sequence":"additional","affiliation":[{"name":"Institute for Social Marketing University of Stirling  Stirling UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petra","family":"Meier","sequence":"additional","affiliation":[{"name":"Sheffield Alcohol Research Group, ScHARR University Sheffield  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9787-2785","authenticated-orcid":false,"given":"Charles D. 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