{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:10:07Z","timestamp":1760029807489,"version":"build-2065373602"},"reference-count":19,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T00:00:00Z","timestamp":1742428800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Universidad Jorge Tadeo Lozano\u2014Bogot\u00e1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Social fragility, defined as the inability of a society to manage risks and resolve conflicts without violence or external aid, is closely linked to early fertility and domestic violence, particularly among vulnerable populations. These challenges were exacerbated by the COVID-19 pandemic, which exposed regional disparities across Colombia, particularly in areas with weak social infrastructure and high dependence on public policies. This study integrates data from all Colombian departments on annual births, deaths by cause, domestic violence by perpetrator, and other demographic factors to construct key indicators of early fertility and structural inequalities. To measure fragility, we developed the Early Fertility Fragility Index (EFFI) and refined it using a Generalized Linear Model (GLM) to identify the most critical predictors of early fertility risk. The findings reveal marked regional disparities, with departments exhibiting high Indigenous and migrant populations, high domestic violence rates, and weak social protection systems experiencing the greatest fragility and the most pronounced increases in early fertility. However, these results reflect correlational relationships rather than causal effects. Further research using longitudinal or experimental designs is needed to establish causality.. In contrast, urbanized regions with stronger social and economic infrastructures showed greater resilience. These results highlight how structural inequalities intensify the effects of crises on vulnerable populations. The refined EFFI model provides a robust framework for assessing regional fragility and guiding evidence-based policy interventions. Addressing these disparities requires regionally tailored strategies that prioritize investment in social infrastructure, reproductive health services, and protective policies to mitigate the long-term consequences of early fertility and social fragility in Colombia.<\/jats:p>","DOI":"10.3390\/ijerph22030453","type":"journal-article","created":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T07:59:54Z","timestamp":1742457594000},"page":"453","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Social Fragility: Impact of Early Fertility and Domestic Violence in Colombia During the Pandemic"],"prefix":"10.3390","volume":"22","author":[{"given":"Fabian","family":"D\u00e1vila","sequence":"first","affiliation":[{"name":"Public Policy Modeling and Management, School of Natural Sciences and Engineering, Universidad de Bogot\u00e1 Jorge Tadeo Lozano, Bogot\u00e1 111711, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8953-9034","authenticated-orcid":false,"given":"Favio","family":"Cala-Vitery","sequence":"additional","affiliation":[{"name":"Public Policy Modeling and Management, School of Natural Sciences and Engineering, Universidad de Bogot\u00e1 Jorge Tadeo Lozano, Bogot\u00e1 111711, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,3,20]]},"reference":[{"key":"ref_1","unstructured":"World Bank (2025, March 07). Classification of Fragility and Conflict Situations for World Bank Group Engagement. Available online: https:\/\/peacekeeping.un.org\/en\/where-we-operate."},{"key":"ref_2","unstructured":"OECD (2022). States of Fragility 2022, OECD."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2065","DOI":"10.1111\/rsp3.12681","article-title":"Inequality and space in a highly unequal country: What does the literature tell us in the context of Colombia?","volume":"15","author":"Duque","year":"2023","journal-title":"Reg. Sci. Policy Pract."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"164935","DOI":"10.1016\/j.scitotenv.2023.164935","article-title":"An Integrated Multidimensional Resilience Index for urban areas prone to flash floods: Development and validation","volume":"894","author":"Bodoque","year":"2023","journal-title":"Sci. Total Environ."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Marzi, S., Mysiak, J., Essenfelder, A.H., Amadio, M., Giove, S., and Fekete, A. (2019). Constructing a comprehensive disaster resilience index: The case of Italy. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0221585"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1111\/padr.12629","article-title":"Births in Low- and Middle-Income Countries during the COVID-19 Pandemic","volume":"50","author":"Kim","year":"2024","journal-title":"Popul. Dev. Rev."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Emery, T., and Koops, J.C. (2022). The impact of COVID-19 on fertility behaviour and intentions in a middle income country. PLoS ONE, 17.","DOI":"10.1371\/journal.pone.0261509"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Wister, A., Lear, S., Schuurman, N., MacKey, D., Mitchell, B., Cosco, T., and Fyffe, I. (2018). Development and validation of a multi-domain multimorbidity resilience index for an older population: Results from the baseline Canadian Longitudinal Study on Aging. BMC Geriatr., 18.","DOI":"10.1186\/s12877-018-0851-y"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Li, X., Wu, Z., Liu, Y., and Li, X. (2016). Resilience and Associated Factors among Mainland Chinese Women Newly Diagnosed with Breast Cancer. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0167976"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"D\u00e1vila, F., Cala-Vitery, F., and S\u00e1nchez, L.-T. (2025). Determinants of Access to Sexual and Reproductive Health for Adolescent Girls in Vulnerable Situations in Latin America. Int. J. Environ. Res. Public Health, 22.","DOI":"10.3390\/ijerph22020248"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Ostadtaghizadeh, A., Zarei, M., Saniee, N., and Rasouli, M.A. (2023). Gender-based violence against women during the COVID-19 pandemic: Recommendations for future. BMC Womens. Health, 23.","DOI":"10.1186\/s12905-023-02372-6"},{"key":"ref_12","unstructured":"Wiper, O., Vuik, S., Cheatley, J., and Cecchini, M. (2022). Cluster Analysis to Assess the Transferability of Public Health Interventions, OECD."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1881","DOI":"10.1080\/14719037.2022.2052944","article-title":"\u2018We are all vulnerable, we are all fragile\u2019: COVID-19 as opportunity for, or constraint on, health service resilience in Colombia?","volume":"25","author":"Turner","year":"2023","journal-title":"Public Manag. Rev."},{"key":"ref_14","unstructured":"Kisambira, S., and Schmid, K. (2025, March 07). Selecting the Adolescent Birth Rates (10\u201314 and 15\u201319 Years) for Monitoring and Reporting on Sustainable Development Goals. Available online: https:\/\/www.un.org\/development\/desa\/pd\/sites\/www.un.org.development.desa.pd\/files\/undesa_pd_2025_wfr-2024_advance-unedited.pdf."},{"key":"ref_15","unstructured":"World Health Organization (WHO) (2023). Data\/GHO\/Indicator Metadata Registry List\/Adolescent Birth Rate (Per 1000 Women). The Global Health Observatory, World Health Organization (WHO). Available online: https:\/\/www.who.int\/data\/gho\/indicator-metadata-registry\/imr-details\/4669."},{"key":"ref_16","unstructured":"Instituto Nacional de Medicina Legal y Ciencias Forenses (2025, March 07). Violencia intrafamiliar. Colombia, a\u00f1os 2015 a 2023. Cifras definitivas, Available online: https:\/\/www.datos.gov.co\/Justicia-y-Derecho\/Violencia-intrafamiliar-Colombia-a-os-2015-a-2023-\/ers2-kerr\/data_preview."},{"key":"ref_17","unstructured":"Fondo de Poblaci\u00f3n de las Naciones Unidas (2025, March 07). Situaci\u00f3n del Embarazo en Infancia y Adolescencia en Colombia. Available online: https:\/\/colombia.unfpa.org\/sites\/default\/files\/pub-pdf\/infografia-3-semana_andina.pdf."},{"key":"ref_18","unstructured":"United Nation Woman (2025, March 07). Press Release: UN Women Raises Awareness of the Shadow Pandemic of Violence Against Women During COVID-19. Available online: https:\/\/www.unwomen.org\/en\/news\/in-focus\/in-focus-gender-equality-in-covid-19-response\/violence-against-women-during-covid-19."},{"key":"ref_19","unstructured":"Masaki, T., and Madson, B. (2025, March 07). Data Gaps in Microdata in the Context of Forced Displacement. Available online: https:\/\/openknowledge.worldbank.org\/entities\/publication\/b2967e5b-eb8d-4c22-b9b8-98017b882a18."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/22\/3\/453\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:57:02Z","timestamp":1760029022000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/22\/3\/453"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,20]]},"references-count":19,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,3]]}},"alternative-id":["ijerph22030453"],"URL":"https:\/\/doi.org\/10.3390\/ijerph22030453","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2025,3,20]]}}}