Contrary to prevailing beliefs that Easterners revere their elders more than Westerners do, a meta-analysis on studies directly comparing the two broad geographical regions found Eastern cultures to hold significantly greater negative attitudes, at least overall. Although Eastern cultures may continue to hold high expectations for respecting one’s elders the current findings suggest that this does not necessarily translate into greater contemporary positive regard. However, the presence of significant homogeneity, and follow-up moderator analyses, suggested that understanding cross-cultural attitudes toward older adults requires more than broad, East–West classifications. Intraregional subgroup analyses found geographical location to be a significant moderator in a variety of ways. Within the East, the East–West disparity was most pronounced when averaging over only East Asian samples—as opposed to including only South/Southeast Asian samples, where the East–West difference was only marginally significant. Among the West, European and non-Anglophone countries tended to be more negative than non- European and Anglophone Western regions. A further layer of complexity emerged when investigating individual countries within these regions; most notably, within the West, some European regions appeared even more negative than Easterners—again suggesting that a mere East–West explanation for the overall findings is incomplete. Furthering a more nuanced story, pairwise, country-level metaregression analyses—factoring in time of data collection—sought to predict East–West differences in attitudes toward older adults, based on key country-level factors. Two significant predictors emerged consistently