As a reviewer for a number of different US and international journals for over two decades, I've seen papers that have had as many as 20 co-authors. I find it extremely difficult to believe that every single one of the co-authors made a significant intellectual contribution to the paper. I see this as an academic integrity issue that rises from the publish-or-perish mentality in academia.
That being said, I've also noticed that papers with an abnormal number of co-authors tend to come from specific regions of the world, which causes me to question if there might be some regional or cultural factor that drives the practice that I am unaware of. Hence, I'd like to hear other researcher/reviewers thoughts on the issue.
Specifically, what is your "standard" for including a co-author on a given paper? and in our global community, are there cultural/regional factors that would require an author to include a large number of co-authors on a given paper?