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Objectives: South Korea has a growing number of problems associated with drinking problems due to a permissive social atmosphere on drinking. This study was conducted in order to review the current situation of regional drinking characteristics and to examine differences of drinking behavior by sex and region among Korean university and college students. Methods: In 2011, an interview survey was conducted with 700 Korean students of universities and colleges located in seven metropolitan cities and the largest province (Gyeonggi-do). The AUDIT-K was used for classification of drinking problem. Multiple logistic regression analysis of survey data identified differences of regional drinking behavior. Results: According to the results, 73% of students were monthly drinkers, and 16.6% were high risk group of drinking behavior; 31.4% were risk group and 26.7% had alcohol use disorder by AUDIT-K. The rate of male students with a drinking problem was higher than that of females. In case of difference by region, students of universities and colleges located in coastal areas were more likely to have a drinking problem than students located in interior areas. In multiple regression models, difference by sex and region remained significant. Conclusion: Future efforts should focus on association between regional district characteristics and drinking problem in adults. To achieve this, we will need to provide help and health education for prevention in order to decrease drinking problems of university and college students.