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Mobile phone use (MPU) while driving is an important road safety challenge worldwide. Naturalistic driving studies (NDS) emerged as one of the most sophisticated methodologies to investigate driver behavior; however, NDS have not been implemented in low- or middle-income countries. The aim of this research is to investigate MPU while driving and compare the results to those reported in international studies. An analysis of 61.32 h and 1350 km driven in Curitiba (Brazil) showed that MPU lasted for an average of 28.51 s (n = 627) and occ