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It compares people of the same age or age category and assumes that IQ is normally distributed, that the average (mean) is 100 and that the standard deviation is something like 15 (IQ tests sometimes differ in their standard deviations).
The average IQ for an American adult is 98, and reaches spot 18 in countries with the highest IQ average. However, there are several spots in which there are duplicate averages, and the US has the 9th highest IQ average (106 being the highest). The average IQ for an American adult is 98, and reaches spot 18 in countries with the highest IQ average.