Objective:

To demonstrate the differences in fatality rates by place of occurrence (commuting = in itínere and during working hours) in the period from 2014 to 2019 and 2020 in Ecuador.

Material and Methods:

Analysis of 104,396 cases (1.2% fatal) using official records. Lethality Rates (LR) and Lethality Rate Ratio (LRR) were estimated by place of occurrence and separated by sex.

Results:

LR and LRR showed significant decreases. However, the odds of in itínere fatalities were higher in comparison to work-related fatalities, overall [1.51 (95%CI = 1.13-2.04); p = 0.006], in men, [1.58 (95%CI = 1.38-1.82); p = 0.000] and specifically in women, [5.93 (95%CI = 1.86-16.34); p = 0.001].

Conclusions:

Specific epidemiological studies should be carried out and more interest should be given to this occupational road safety problem in the design of public and occupational health strategies.

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