In many countries they have smaller servings - but it's typical to eat 2-3 servings. In the US we often have larger servings (equivalent to 2-3 servings) but only eat the one.
Having traveled quite a bit, the largest discrepancy in serving sizes I've noticed is that the US really likes drinks. Especially sodas and especially 60oz sodas. Everywhere I go gives me a "kids sized" cup of water to down with my meal...