Societies vary on how they view alcoholic beverages and their use. These views affect use patterns. One indicator of a society's view on alcohol use may be the way it considers the relationship between women and alcoholic beverages, be it marked with moral stigma or with the relevance that women have in controlling the drinking behaviour of men. Europe has experienced substantial social changes in recent years including attitudinal and behavioural changes regarding alcohol use. This study discusses the use of alcohol in Northern and Southern Europe with an emphasis on women's alcohol use both historically and currently. Recent research on gender variations in alcohol use and its implications for treatment and prevention efforts in Europe is discussed.