<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>3020-1160</journal-id>
<journal-title><![CDATA[Revista de la Asociación Española de Especialistas en Medicina del Trabajo]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Asoc Esp Espec Med Trab]]></abbrev-journal-title>
<issn>3020-1160</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Especialistas en Medicina del Trabajo]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S3020-11602022000200006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Letalidad por desplazamientos domicilio-trabajo-domicilio en el Ecuador, 2014-2019 y 2020]]></article-title>
<article-title xml:lang="en"><![CDATA[Home-workplace-home commuting lethality in Ecuador, 2014-2019 and 2020]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-García]]></surname>
<given-names><![CDATA[Antonio Ramón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Jimbo]]></surname>
<given-names><![CDATA[Danilo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Espíritu Santo - UEES Observatorio Ecuatoriano de Seguridad y Salud en el Trabajo - OESST ]]></institution>
<addr-line><![CDATA[Samborondón ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Previene Salud Servicio de Medicina del Trabajo ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>31</volume>
<numero>2</numero>
<fpage>189</fpage>
<lpage>197</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S3020-11602022000200006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S3020-11602022000200006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S3020-11602022000200006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN.  Objetivo:  Evidenciar las diferencias de letalidad según lugar de ocurrencia (desplazamientos = in itínere y en jornada laboral) en el periodo entre 2014 a 2019 y 2020 en el Ecuador.  Material y Métodos:  Análisis de 104.396 casos (1,2% mortales) utilizando registros oficiales. Se estimaron Tasas de Letalidad (TL) y Razón de Tasas de Letalidad (RTL) por lugar de ocurrencia y separadas por sexo.  Resultados:  Las TL y RTL mostraron descensos importantes. Sin embargo, las probabilidades de fallecimiento in itínere fueron mayores en comparación a los accidentes mortales ocurridos en jornada laboral, de forma global [1,51 (IC95% = 1,13-2,04); p = 0,006], en hombres, [1,58 (IC95% = 1,38-1,82); p = 0,000] y, en específico, en mujeres, [5,93 (IC95% = 1,86-16,34); p = 0,001].  Conclusiones:  Se deberían realizar estudios epidemiológicos específicos y prestar mayor interés a este problema de seguridad vial laboral en el diseño de estrategias de salud pública y laboral.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Letalidad]]></kwd>
<kwd lng="es"><![CDATA[Sexo]]></kwd>
<kwd lng="es"><![CDATA[Accidentes de trayecto]]></kwd>
<kwd lng="es"><![CDATA[Accidentes laborales]]></kwd>
<kwd lng="es"><![CDATA[Epidemiología]]></kwd>
<kwd lng="en"><![CDATA[Lethality]]></kwd>
<kwd lng="en"><![CDATA[Gender]]></kwd>
<kwd lng="en"><![CDATA[Work-place accidents]]></kwd>
<kwd lng="en"><![CDATA[Commuting accidents]]></kwd>
<kwd lng="en"><![CDATA[Epidemiology]]></kwd>
</kwd-group>
</article-meta>
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