Check out Spatialite. https://www.gaia-gis.it/fossil/libspatialite/index

SQLite can be built with the R*tree module, which supports efficiently looking up all bounding boxes that contain a point: https://www.sqlite.org/rtree.html

PostGIS similarly provides an R*Tree index mode, as well as a heap of functions for doing GIS calculations directly. To do that in SQLite, you'd implement and inject custom functions as appropriate.

From the schema it looks like this is storing nodes and lines: https://github.com/osmzoso/pbf2sqlite/blob/main/doc/pbf2sqli...

There's an option to enable RTree indexes to speed up queries like this one:

  SELECT way_id
  FROM rtree_way
  WHERE max_lon>= 7.851 AND min_lon<= 7.854
   AND  max_lat>=47.995 AND min_lat<=47.996;

DuckDB has put some effort into GIS, so if SQLite does not immediately fit the bill, I would go there.

https://motherduck.com/blog/getting-started-gis-duckdb/

SQLite + spatial (and specific metadata tables) is essentially the Geopackage format, which can be considered the modern equivalent of a shapefile.

Which is to say, yes, SQLite has geospatial operations and they’re well supported by the open source gis stack.