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<front>
<journal-meta>
<journal-id journal-id-type="marcador">647</journal-id>
<journal-title-group>
<journal-title specific-use="original" xml:lang="es">Universitas Psychologica</journal-title>
<abbrev-journal-title abbrev-type="publisher" xml:lang="es">Univ. Psychol.</abbrev-journal-title>
</journal-title-group>
<issn pub-type="ppub">1657-9267</issn>
<issn pub-type="epub">2011-2777</issn>
<publisher>
<publisher-name>Pontificia Universidad Javeriana</publisher-name>
<publisher-loc>
<country>Colombia</country>
<email>revistascientificasjaveriana@gmail.com</email>
</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="art-access-id" specific-use="redalyc">64759646016</article-id>
<article-id pub-id-type="doi">https://doi.org/10.11144/Javeriana.upsy18-2.swbp</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Artículos de Investigación</subject>
</subj-group>
</article-categories>
<title-group>
<article-title xml:lang="en">Subjective Well-Being Profiles of Street-Involved Youth: a Longitudinal Analysis Based on Clusters<xref ref-type="fn" rid="fn1">*</xref>
</article-title>
<trans-title-group>
<trans-title xml:lang="es">Perfiles de bienestar subjetivo de los jóvenes en la calle: un análisis
longitudinal basado en clúster</trans-title>
</trans-title-group>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-3143-4026</contrib-id>
<name name-style="western">
<surname>Ferreira Lima</surname>
<given-names>Rebeca Fernandes</given-names>
</name>
<xref ref-type="corresp" rid="corresp1"/>
<xref ref-type="aff" rid="aff1"/>
<email>rebecafflima@gmail.com</email>
</contrib>
<contrib contrib-type="author" corresp="no">
<contrib-id contrib-id-type="orcid">http://orcid.org/0000-0003-3156-4688</contrib-id>
<name name-style="western">
<surname>Araujo de Morais</surname>
<given-names>Normanda</given-names>
</name>
<xref ref-type="aff" rid="aff2"/>
</contrib>
</contrib-group>
<aff id="aff1">
<institution content-type="original">Federal University of Espírito Santo, Brazil</institution>
<institution content-type="orgname">Federal University of Espírito Santo</institution>
<country country="BR">Brasil</country>
</aff>
<aff id="aff2">
<institution content-type="original">University of Fortaleza, Brazil</institution>
<institution content-type="orgname">University of Fortaleza</institution>
<country country="BR">Brasil</country>
</aff>
<author-notes>
<corresp id="corresp1">
<email>a Correspondence author. Email: rebecafflima@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="epub-ppub">
<year>2019</year>
</pub-date>
<volume>18</volume>
<issue>2</issue>
<history>
<date date-type="received" publication-format="dd mes yyyy">
<day>08</day>
<month>03</month>
<year>2017</year>
</date>
<date date-type="accepted" publication-format="dd mes yyyy">
<day>22</day>
<month>03</month>
<year>2019</year>
</date>
</history>
<permissions>
<ali:free_to_read/>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<ali:license_ref>https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>Esta obra está bajo una Licencia Creative Commons Atribución 4.0 Internacional.</license-p>
</license>
</permissions>
<abstract xml:lang="en">
<title>Abstract</title>
<p> This study aimed to longitudinally characterize subjective well-being (SWB; life satisfaction, positive and negative affect) profiles of street-involved youth, verifying how the different groups differ in sociodemographic variables (e.g., age, gender, contact intensity with family and street), stressful events (number and impact) and health-risk behaviors (i.e., suicidality, sexual risk, drug use). Participants were 104 young people (<italic>M</italic> = 14.22 years, <italic>SD</italic> = 2.4), from three Brazilian capitals, most (82%) were boys. Cluster analysis identified three groups: average SWB (n = 56); positive SWB (n = 21); and negative SWB (n = 27). The positive SWB group is made up of younger youth with lower levels of health-risk behaviors and stronger family ties. Results corroborated prior studies identifying SWB as an important health indicator, emphasizing the importance of promoting SWB to reduce the risks that undermine development.</p>
</abstract>
<trans-abstract xml:lang="es">
<title>Resumen</title>
<p> Este studio caracterizó prospectivamente perfiles del bienestar subjetivo (BS; satisfacción de vida, afecto positivo y negativo) de jóvenes en la calle, verificando cómo diferentes grupos difieren en las variables sociodemográficas (e.g., edad, sexo, intensidad de contacto con la familia y la calle), eventos estresantes (número y impacto) y comportamiento de riesgo para la salud (i.e., suicidio, riesgo sexual, uso de drogas). Los participantes fueron 104 jóvenes (<italic>M</italic> = 14,22 años, <italic>DE</italic> = 2,4), de tres capitales brasileñas, la mayoría (82%) eran hombres. El análisis de cluster identificó tres grupos: BS medio (n = 56); BS positivo (n = 21); BS y negativo (n = 27). SB positivo se compone de jóvenes con niveles más bajos de comportamiento de riesgo y lazos familiares más fuertes. Los resultados corroboraron estudios previos que identificaron el BS como un importante indicador de salud, enfatizando la importancia de promover el BS con miras a reducir los riesgos que minan el desarrollo.</p>
</trans-abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>subjective well-being</kwd>
<kwd> street situation</kwd>
<kwd> adolescence</kwd>
<kwd> analysis based on clusters</kwd>
<kwd> longitudinal study</kwd>
</kwd-group>
<kwd-group xml:lang="es">
<title>Palabras clave</title>
<kwd>bienestar subjetivo</kwd>
<kwd> situación de la calle</kwd>
<kwd> adolescencia</kwd>
<kwd> análisis basado en clúster</kwd>
<kwd> estudio longitudinal</kwd>
</kwd-group>
<funding-group>
<award-group award-type="grant">
<funding-source>National Council for
Scientific and Technological Development (CNPq)</funding-source>
<funding-source>Coordination for the Improvement of Higher Education
Personnel (CAPES)</funding-source>
<funding-source>Cearense Foundation to Support Scientific
and Technological Development (FUNCAP)</funding-source>
</award-group>
</funding-group>
<counts>
<fig-count count="1"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="30"/>
</counts>
<custom-meta-group>
<custom-meta>
<meta-name>How to cite</meta-name>
<meta-value> Lima, R. F. F., &amp; Morais, N. A. (2019). Subjective well-being profiles of
street-involved youth: a longitudinal analysis based on clusters.  <italic>Universitas Psychologica</italic>,
<italic>18</italic>(2), 1-XX. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.11144/Javeriana.upsy18-2.swbp">https://doi.org/10.11144/Javeriana.upsy18-2.swbp</ext-link>
</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
<body>
<sec>
<title/>
<p> The street is considered an atypical context of development that involves a series of physical and psychological risks for the youth inserted in it. The street-involved youth growing up in conditions of low family income, lack of housing, failure in school, familial abuse and neglect, violence and perceived public stigma (<xref ref-type="bibr" rid="64759646016_ref2">Asante, 2015</xref>; <xref ref-type="bibr" rid="64759646016_ref27">Petersen, Koller, Motti-Stefanidi, &amp; Verma, 2016</xref>). This, in turn, the trajectory of exposure to several adversities increases health-risk behavior such as consumption of psychoactive substances, sexual risk behavior, suicide, infractions acts ( <xref ref-type="bibr" rid="64759646016_ref12">Embleton , Lee, Gunn, Ayuku, &amp; Braitstein, 2016</xref>). Recent studies reveal a sustained effort to improve the positive youth development despite difficult life situations, taking into consideration the strengths, emotions and other psychological processes, as well as effective policies and interventions that promote youth flowering (<xref ref-type="bibr" rid="64759646016_ref27">Petersen et al., 2016</xref>). Thus, even in situations of extreme stress, it is important to consider personal and social resources, which function as protective actions and can generate positive developmental results (<xref ref-type="bibr" rid="64759646016_ref22">Masten, 2014</xref>). </p>
<p> Few studies have included positive development measures for street-involved youth. In this literature, some authors have highlighted subjective well-being (SWB) as an important indicator of mental health (<xref ref-type="bibr" rid="64759646016_ref5">Castaños-Cervantes &amp; Sánchez-Sosa, 2015</xref>), psychosocial adjustment ( <xref ref-type="bibr" rid="64759646016_ref24">Morais, Koller, &amp; Raffaelli, 2010</xref>) and related to the support network (peers, families and institutions) and engaging in leisure and recreational activities (<xref ref-type="bibr" rid="64759646016_ref20">Lima &amp; Morais, 2016a</xref>). SWB is composed of different dimensions that are positive (PA) and negative affects (NA) and life satisfaction (LS) (<xref ref-type="bibr" rid="64759646016_ref9">Diener, 1984</xref>). Affects are emotional responses of pleasure (e.g., feeling contented) and displeasure (e.g., feeling humiliated) to everyday events. Satisfaction is relative to the cognitive judgment of global life and its various domains (e.g., family, school) from comparisons between a person's life circumstances and a pattern chosen by one. </p>
<p> The literature recommends that SWB measurement is performed by self-report measures that evaluate each of its components (PA, NA, and LS) to the detriment of global evaluations of happiness (<xref ref-type="bibr" rid="64759646016_ref11">Diener, Suh, Lucas, &amp; Smith, 1999</xref>). Some results on the SWB of street-involved youth indicated that this population faced adversities with health implications such as presenting anxious and depressive symptoms associated with low levels of well-being (<xref ref-type="bibr" rid="64759646016_ref5">Castaños-Cervantes &amp; Sánchez-Sosa, 2015</xref>). While other authors have shown that young people are satisfied with their lives and PA rather than NA more often despite they have experienced several and intense negative life events (<xref ref-type="bibr" rid="64759646016_ref21">Lima &amp; Morais, 2016b</xref>; <xref ref-type="bibr" rid="64759646016_ref24">Morais et al., 2010</xref>). </p>
<p> The findings mentioned above were predominantly based on variable-centered analysis and present statistical results-oriented by the variables that do not characterize the individuality of the sample. This approach had important contributions to the theoretical and empirical construction of the SWB; however, it limited mapping of the relations between the observed variables. In contrast, the person-centered analysis considers that the individual is an organized whole with an individual functioning system. In their applications, variables are used to construct profiles grouping the individuals by their scores through statistical analysis, with cluster analysis as commonly used. The variables included in such analysis have no meaning in themselves. They are components of the standard in analysis and interpreted simultaneously about the other variables (<xref ref-type="bibr" rid="64759646016_ref4">Bergman &amp; Magnusson, 1997</xref>). </p>
<p> The person-centered analysis guides this study, suitable approach to field studies of development focusing on individuals' lives over time (<xref ref-type="bibr" rid="64759646016_ref14">Hart, Atkins, &amp; Fegley, 2003</xref>). Regarding longitudinal studies with vulnerable youth, there is a shortage in the literature, implying limits to understanding development in a risk context. Observations that extend over some time make it possible to capture what is maintained or modified in people's lives. This chronology in the research facilitates the identification of the interaction processes of the personal and contextual systems implied in the individuals' responses to life events, as well as their progress across the course of their lives (<xref ref-type="bibr" rid="64759646016_ref19">Lerner, 2015</xref>). The target population of this study is difficult to access and has a high circulation among different environments, characteristics that make it difficult to follow the cases (<xref ref-type="bibr" rid="64759646016_ref25">Morais, Koller, &amp; Raffaelli, 2012</xref>). Theoretical and methodological efforts are needed to contribute to a broader range of developmental processes for street-involved youth. </p>
<p> Given the above, this study sought to contribute to the complex understanding of the development of street-involved youth. It addressed the individual (SWB), contextual (street, family, institution and life events) dimensions and subsequent patterns of youth behavior (health-risk behavior) under adverse conditions. The objective of this study was to longitudinally characterize SWB profiles of street-involved youth, verifying how different groups differ regarding sociodemographic characteristics; besides the stressful events and health-risk behaviors, which are used in this study as a risk variable and indicator of psychosocial adjustment, respectively.  </p>
<p> Stressful events are adverse life events that alter the environment and incite tension, affecting individuals' responses and that make youth susceptible to negative developmental outcomes (<xref ref-type="bibr" rid="64759646016_ref23">Masten &amp; Garmezy, 1985</xref>) and health-risk behaviors are severe behavioral and mental health-related problems (<xref ref-type="bibr" rid="64759646016_ref2">Asante, 2015</xref>). Thus, we tested the hypothesis that youth who feel more PA and LS have lower risk indicators, greater adjustment, and social support. Participants were grouped into clusters based on different SWB levels and described based on sociodemographic characteristics (age, gender, relationships with the street, family, and institution), SWB (LS, PA, and NA), stressful events (number and impact) and health-risk behaviors (suicidality, sexual risk, and drug use). Afterward, the different groups were compared to SWB, stressful events and health-risk behaviors in Times 1, 2 and 3, with a minimum of six months interval between each.</p>
</sec>
<sec sec-type="methods">
<title>Method</title>
<p>It is a longitudinal study (three-time points with six
months interval between each data collect), of descriptive and analytical design.
It was proposed a person-centered analysis while understanding that the
constituent elements of SWB interact in an integrated way in people was made. The
data are from a more extensive study with street-involved youth from three
Brazilian cities (Fortaleza, Porto Alegre, Salvador). The measures were based on published scales and
had already been adapted and piloted with young Brazilians who lived in
institutional environments and in the street.</p>
<sec>
<title>Contextualization</title>
<p> The sample of Brazilian street-involved youth of this study were recruited in different settings. Specifically, we briefly described data collection spaces. Institutional shelter (or "homeless shelter") is a protective measure that consists of the removal of the child or adolescent from his / her family of origin, when some (or several) situations of violation of rights occur, such as when the child/teenager is a victim of neglect, physical or sexual violence. In this case, the child/adolescent —from a court order—starts living in an institution that should be as similar as possible to a residence, for a period that can extend for a maximum of two years<sc>
<sup>
<xref ref-type="fn" rid="fn3">1</xref>
</sup>
</sc>. At the shelter, the children/adolescents perform all activities necessary for their survival and their routine (food, sleep, hygiene, school, leisure, etc.).</p>
<p> Differently, in open institutions young people have the freedom to walk through these spaces, for example, using them only a day per week or for three days in different shifts, depending on the rules of the institution and the young person's desire. In this case, no court order has required the child/adolescent to remain in that space. However, in the case of non-compliance with rules and regulations, young people are deprived of the use of these services, usually for 72 hours. These spaces are like pass houses, where young people find protection, and can be sent to an institutional shelter, to their families or returning to the streets. Regarding the third data collection space, the street, there was only a small portion of the sample (from Fortaleza) that was properly in the streets, sleeping in porches, bus terminals and frequenting the city center and beaches, a reality that explained the change in the profile of this population.</p>
</sec>
<sec>
<title>Participants</title>
<p>In Time 1, 113 youth who had to live on the street for
at least six months of the first data collection were recruited in institutions
shelter (80%), open institutions serving street-involved youth (17%) and street
(3%). The participants were recruited
in Fortaleza (n = 45, 39.8%), Salvador (n = 40, 35.4%), and Porto Alegre (n = 28, 24.8%). There were no significant differences
between cities for sex and age. The following shows the number of respondents
in each data collect Time: 81 (72%) young people were interviewed in T2 and 68
(61%) in T3. The analytical sample of this article consisted of 104 young
people who completed all measures related to SWB (PA, NA, and LS) in Time 1.
These young ones ranged from 9 to 18 years (<italic>M</italic>
= 14.22 years, <italic>SD</italic> = 2.4) and the
majority (82%) were males and (91%) non-white.</p>
</sec>
<sec>
<title>Instruments</title>
<p>
<italic> Participant’s Form</italic>. A set of 11 questions for sociodemographic categorization of participants based on the Life Experience Interview (<xref ref-type="bibr" rid="64759646016_ref28">Raffaelli, Koller, &amp; Morais, 2007</xref>) was created. In this article, we analyzed the items that dealt with the sociodemographic data: age, sex, relations with the institution (a type of institution attended), street and family (contact intensity - weak, medium and strong). </p>
<p>
<italic> Stressful Events (Number and Impact)</italic>. It is a checklist of 22 events that could have occurred during the last six months (e.g., relocation, return home, death threat, and the death of a friend or family member). The frequency of occurrence of the events was used to calculate the number of events. For those events occurred, participants rated each one as impact (5 items; 1- nothing stressful to 5 - totally stressful). The average of the total impact is achieved by dividing the sum of the assigned impact values by the events experienced by the total number of events with a valid impact.  </p>
<p>
<italic> Health-Risk Behaviors</italic>. Formed from a combination of three indicators (suicidality, sexual risk, and drug use). For its construction, the following steps were conducted: 1) the transformation of each adjustment indicator into a standardized score (z-score); and 2) the sum of the normalized scores of all indicators (suicide rate, sexual risk, and drug use). </p>
<p>
<italic> Suicidality Index</italic>. Computed from items on suicide ideation and attempted suicide, being ranked in 0 (no ideation and attempts), 1 (thought about suicide but had no attempt), 2 (attempted once) and 3 (attempted two or more times). </p>
<p>
<italic> Sexual Risk Index</italic>. Composed of the sum of four indicators (already had sex, sexual intercourse before the age of 13, two or more partners in the last 6 months, no condom at the last sexual intercourse). Values ranged from 0 (no risk) to 4 (presence of all sexual risk behaviors). </p>
<p>
<italic> Drugs Use</italic>. Drug use was measured by the frequency of consumption of seven drugs (licit and illicit: alcohol, cigarettes, marijuana, cocaine, crack and others) in the last month, with values from 0 (did not consume) to 7 (consumed all types drugs). </p>
<p>
<italic> Positive and Negative Affect</italic>. The measurement of affect was obtained by the Positive and Negative Affect Schedule for Children (PANAS-C, <xref ref-type="bibr" rid="64759646016_ref30">Watson, Clark, &amp; Tellegen, 1988</xref>; <xref ref-type="bibr" rid="64759646016_ref18">Laurent et al., 1999</xref>) adapted by <xref ref-type="bibr" rid="64759646016_ref28">Raffaelli et al. (2007)</xref>. It is a two-factor scale (Positive Affect, 17 items, <italic>alpha</italic> = 0.86; Negative Affect, 17 items, <italic>alpha</italic> = 0.89) of 34 items classified in five points (1 - not at all to 5 - very much). Feeling participatory, determined, strong and courageous are examples of PA. While feeling sad, humiliated, worried, and nervous are examples of items of NA. </p>
<p>
<italic> Life Satisfaction</italic>. Composed of five items (1 - strongly disagree to 5 - strongly agree) of the Life Satisfaction Scale (<xref ref-type="bibr" rid="64759646016_ref10">Diener, Emmons, Larsen, &amp; Griffin, 1985</xref>) adapted by <xref ref-type="bibr" rid="64759646016_ref16">Koller et al. (1996)</xref> (<italic>alpha</italic> = 0.72). One example is the following questions: "Is your life close to your ideal?" and "Are you satisfied with your life?”.</p>
</sec>
<sec>
<title>Data Collect Procedures</title>
<p>The composition of the sample performed three stages. In the first
stage, the potential recruitment places identified included social assistance
institutions that provided services to street-involved youth. In the second
stage, places identified as regular meeting places for young people were
selected for the recruitment of participants. In the third stage, the research
team was inserted in these spaces, beginning the ecological engagement with six-month duration. This approach privileged the insertion of the
researcher into the research context, enabling the researcher-participant
interaction regularly of time (<xref ref-type="bibr" rid="64759646016_ref17">Koller, Morais, &amp; Paludo, 2016</xref>).
Participants were eligible if they had current or recent street experience
(e.g., sleeping, working, or “hanging out” on the street) or engage in illicit
or risky street-based activities (e.g., drug trafficking, sexual exploitation).
After selection and acceptance, the participants completed a set of measures in
three times (T1, T2, and T3) with an interval of six months between each one. The
instruments were applied, on average, in two individual 35-minute meetings,
conducted by the research assistants duly trained in the joint study protocol.</p>
</sec>
<sec>
<title>Data Analysis Procedures</title>
<p>We conducted a hierarchical cluster analysis to
identify groups of street-involved youth with different SWB profiles at Time 1.
The Ward method with squared Euclidean distance as a measure of proximity was
used. The score for each variable was standardized (z-score), before the
analysis, to minimize the effects of different scales between variables. The
selection of the clusters based on an inspection of the dendrogram
branches and the coherence of the resulting clusters through the analysis of
variance, being verified the existence of significant variability between the clusters
in relation to the components of SWB. For the longitudinal characterization of
the clusters, descriptive statistics (mean, standard deviation, frequency, and
percentage) and analysis of comparison (ANOVA) between clusters were carried
out, considering the differentiation of the groups in the other variables
investigated over time (T1, T2, and T3). The data were analyzed using the
Statistical Package for Social Sciences - SPSS (version 19), considering a
level of significance of <italic>p</italic>&lt;0.05.</p>
</sec>
<sec>
<title>Ethical aspects</title>
<p>The Ethics Committee from the institution of origin of
the authors (Protocol 2011023) approved the study, and we followed all
procedures necessary for the research with youth in situations of social
vulnerability, suitably.</p>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Profiles Identification</title>
<p>The cluster analysis performed with the three components of the SWB (LS,
PA, and NA) indicated three distinct SWB profiles of young people in the street
situation. As depicted in <xref ref-type="fig" rid="gf1">Figure 1</xref>, clusters include an average SWB (n = 56;
49.6%) characterized by moderate LS, PA, and NA. A positive SWB (n = 21; 18.6%)
defined by high LS and PA and low NA; and a negative SWB (n = 27; 23.9%)
distinguished by low LS and PA and moderate NA. The values of SWB variables
correspond to normalized means and are described in <xref ref-type="table" rid="gt2">Table 2</xref>.</p>
<p>
<fig id="gf1">
<label>
<italic>Figure 1</italic>
</label>
<caption>
<title>Clusters formed according to different levels of SWB (LS, PA, and NA)</title>
</caption>
<alt-text>Figure 1 Clusters formed according to different levels of SWB (LS, PA, and NA)</alt-text>
<graphic orientation="portrait" position="anchor" xlink:href="64759646016_gf2.png"/>
</fig>
</p>
<p>As for the sociodemographic characterization,
as shown in <xref ref-type="table" rid="gt1">Table 1</xref>, clusters do not differ significantly in gender. On the
topic of the age, the follow-up test (LSD) verified that the positive SWB is
composed of younger children/adolescents than the negative SWB. Regarding the
relationship with the streets, all clusters had medium to strong contact
intensity, and there are no significant differences between the groups. The
clusters differed significantly for the variables’ intensity of contact with family
[F (2) = 1.14, p &lt;0.05, Cohen’s <italic>d</italic> = 1.20]
and type of institution (open institution) [<italic>F</italic>
(2) = 3.6, <italic>p</italic> &lt;0.05, Cohen’s <italic>d</italic> = 0.68]. The post hoc analysis (LSD)
identified that positive SWB was made up of young people with stronger family
ties than the other groups. Participants who composed the average SWB and
positive SWB clusters used the open institutions more frequently than those of
the negative SWB.</p>
<p>
<table-wrap id="gt1">
<label>Table 1</label>
<caption>
<title>
<italic>Socio-demographic Characterization of Street-Involved
Youth with Different SWB Profiles</italic>
</title>
<p>Subscribers reflect differences between groups based on ANOVA (<italic>p</italic> &lt; 0.05).</p>
</caption>
<alt-text>Table 1 Socio-demographic Characterization of Street-Involved
Youth with Different SWB Profiles</alt-text>
<graphic orientation="portrait" position="anchor" xlink:href="64759646016_gt2.png"/>
</table-wrap>
</p>
<p>In order to verify the distinction between the three clusters regarding
the components of SWB, comparisons were made (ANOVA). The results of the
analysis of variance highlighted significant differences between clusters for
LS [<italic>F</italic> (2) = 18.37, <italic>p</italic> &lt; 0.001, Cohen’s <italic>d</italic> = 1.53], PA [<italic>F</italic> (2) = 92.54, <italic>p</italic> &lt; 0.001,
Cohen’s <italic>d</italic> = 2.13] and NA [<italic>F</italic> (2) = 22.8, <italic>p</italic> &lt; 0.001, Cohen’s <italic>d</italic> =
1.37]. The post hoc test (LSD) identified that all clusters differed significantly
from each other for SWB variables. Table 2 indicates the differences by
subscripts. It is also shown that the ANOVA values and the large effect size
observed in the analyses suggested that the PA highlighted the strongest
element of dissimilarity in the clusters.</p>
</sec>
<sec>
<title>Longitudinal characterization of profiles on the SWB, Stressful
Events and Health-Risk Behaviors</title>
<p>
<xref ref-type="table" rid="gt2">Table 2</xref> presents the descriptive analysis and comparisons between groups for SWB variables, stressful events and health-risk behaviors in Times 1, 2 and 3. In T1, besides the clusters differ in relation to SWB as previously described in the identification of the profiles, there were significant differences for the health-risk behaviors [<italic>F</italic> (2) = 6.24, <italic>p</italic> &lt; 0.01, Cohen’s <italic>d</italic> = 0.96] and sexual risk [<italic>F</italic> (2) = 8.73, <italic>p</italic> &lt; 0.001, Cohen’s <italic>d</italic> = 1.08]. Follow-up tests (LSD) indicated that the positive SWB group included participants with lower levels of health-risk behaviors and sexual risk than the other groups, as well as suicidality lower than the negative SWB group. </p>
<p> At Time 2, clusters had significant differences for PA [<italic>F</italic> (2) = 12.65, <italic>p</italic> &lt; 0.001, Cohen’s <italic>d</italic> = 1.56]. Analyzes with the LSD test indicated that the positive SWB group had higher mean PA than the other groups, as well as higher LS levels and lower NA levels than the average SWB group. In T3, there were significant differences between the clusters in the PA [<italic>F</italic> (2) = 5.32, <italic>p</italic> &lt;0.01, Cohen’s <italic>d</italic> = 1.89], LS [<italic>F</italic> (2) = 4.62, <italic>p</italic> &lt;0.01, Cohen’s <italic>d</italic> = 1.12] and health-risk behaviors [<italic>F</italic> (2) = 3.18, <italic>p</italic> &lt; 0.05, Cohen’s <italic>d</italic> = 0.88]. The post hoc (LSD) test indicated that the negative SWB group had lower LS levels than the other groups, as well as higher health-risk behaviors and the impact of stressful events than positive SWB. This cluster still stood out for lower means of health-risk behaviors than the average SWB cluster. The different SWB profiles did not differ significantly in terms of the number of stressors and drug use at any time (T1, T2, and T3).</p>
<p>
<table-wrap id="gt2">
<label>Table 2</label>
<caption>
<title>
<italic>Means, Standard Deviations and SWB Cluster
Comparisons, Stressful Events (Number and Impact)
and Health-Risk Behaviors Variables</italic>
</title>
</caption>
<alt-text>Table 2 Means, Standard Deviations and SWB Cluster
Comparisons, Stressful Events (Number and Impact)
and Health-Risk Behaviors Variables</alt-text>
<graphic orientation="portrait" position="anchor" xlink:href="64759646016_gt3.png"/>
<table-wrap-foot>
<fn-group>
<fn fn-type="other" id="fn5">
<label>
<sup>1</sup>
</label>
<p>Means of the
variables based on z-score. The value of N for some variables may have
variation due to <italic>missing</italic>. Subscribers
reflect differences between groups based on ANOVA (<italic>p</italic> &lt; 0.05). SE = Stressful Events.</p>
</fn>
</fn-group>
</table-wrap-foot>
</table-wrap>
</p>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p> SWB profiles of street-involved youth was characterized longitudinally, verifying how groups differ in relation to the sociodemographic characteristics; besides the stressful events and health-risk behaviors. The focus on the individual through the person-centered analysis allowed the identification of SWB typologies of this population. We found three groups: average SWB, positive SWB, and negative SWB. This approach showed distinct profiles of young people who tend to have different patterns of adaptation.  </p>
<p> In general, the positive SWB was formed by predominantly male and younger people, whereas the negative SWB was composed of older adolescents with a higher percentage of girls, although the majority was boys. It was highlighted that positive SWB had the highest levels of SWB and the lowest levels of health-risk behaviors, while the negative SWB had the lowest levels of SWB and higher levels of health-risk behaviors. Almost half of the sample comprised the average SWB, which revealed that young people who, in their trajectories, experienced stressors and engaged in risky behaviors have a decrease in the level of well-being when compared to the normative youth population (<xref ref-type="bibr" rid="64759646016_ref3">Bandeira, Natividade, &amp; Giacomoni, 2015</xref>). </p>
<p> Some studies have presented street-involved youth with worse indicators of physical (e.g., liver disease, HIV) and mental health (e.g., anxiety and depression) related to suicide, drug use and sexual risk (<xref ref-type="bibr" rid="64759646016_ref12">Embleton et al., 2016</xref>; <xref ref-type="bibr" rid="64759646016_ref15">Hills, Meyer-Weitz, &amp; Asante, 2016</xref>). In this population, drug use was associated with sexual risk behavior, mainly having multiple sexual partners and unprotected sex (<xref ref-type="bibr" rid="64759646016_ref8">Cheng et al., 2016</xref>). In this positive focus study, taken together, the results indicate that the differences in SWB are linked to the simultaneous differences in health-risk behaviors, especially suicidality and sexual risk. That is, higher well-being rates indicate less involvement in disruptive behaviors. This confirms that the previous studies identify SWB as an important health indicator, while the well-being experience drives the young people to increase their personal goals and consequent healthy development (<xref ref-type="bibr" rid="64759646016_ref1">Antaramian, Huebner, Hills, &amp; Valois, 2010</xref>). The promotion of SWB can, therefore, be an effective strategy in reducing the risks that seriously undermine the development. </p>
<p> According to the findings of this study, the three groups had the street as a significant development context. Even though it did not differentiate, positive SWB had slightly lower contact with the street, which suggests that these young people chose other insertion environments. It corroborates the results of this group with greater intensity of contact with the family and to have gone more frequently to open institutions, whether in search of temporary shelter or to participate in socio-educational projects. Such data may be related to the protective role played by institutions and the continuity of the affective ties in the family. In institutions, young people can establish relationships of trust with professionals and receive social support, either through professional or socio-educational activities (<xref ref-type="bibr" rid="64759646016_ref29">Rodarte et al., 2015</xref>). Institutions that work in formal and vocational education, as well as the provision of services to the family aiming at promoting family attachment, seem to be adequate measures related to well-being and developmentally healthy. </p>
<p> Consistent with previous studies, street-involved youth are in conditions of extreme vulnerability (<xref ref-type="bibr" rid="64759646016_ref6">Castaños-Cervantes &amp; Sánchez-Sosa, 2016</xref>). The number and impact of stressful events showed young people experiencing poverty, violence and other circumstances conducive to behavioral problems. According to the cumulative risk model, the accumulation of these stressful events increases the likelihood of negative results (<xref ref-type="bibr" rid="64759646016_ref13">Haggerty, Sherrod, Garmezy, &amp; Rutter, 2000</xref>). As observed in the results of this study, in T3, the negative SWB group evaluated the events as more stressful than the positive SWB, indicating that the combination over time of multiple negative events may exceed the effective response capacity in coping with the risk (as shown by the high levels of health-risk behaviors). </p>
<p> The overall results in this study supported the hypothesis that youth with high levels of well-being (PA and LS) have greater adjustment, greater social support, and lower impact of stressful events (no differences were found to a number of stressful events). These findings indicated that the opportunity to maintenance and enhancement of personal resources and social support can be help youth to develop survival and resilience strategies (<xref ref-type="bibr" rid="64759646016_ref7">Cénat, Derivois, Hébert, Amédée, &amp; Karray, 2018</xref>). Finally, it is concluded that despite the risk context, many participants feel PA and LS, though it is alerted to the frequency of stressful events and health-risk behaviors, including increasing these vulnerabilities over the ages. The most vulnerable young people have experienced intense stressors, reduced social support, and lower well-being. It is highlighted that engagement in health behaviors (e.g., substance use attitudes), recreational and educational activities, and the development and maintenance of family and institutional ties may favor SWB levels. </p>
<p> This study had some limitations. Because it was a longitudinal study, participants had not been interviewed in the three times, making it difficult to identify different patterns of functioning related to the variables investigated in the subsequent year. This was due to the high circulation of young people through different spaces, and it was difficult to resume contact, even though there were methodologies for the case follow-up. For example, contact phones became non-existent due to the high flow of phone number exchanges, young ones who went to another city to escape death threats by traffickers and an adolescent was murdered for a drug debt. Despite these restrictions, we evaluated that this study had good sample retention compared to other studies with a street-involved youth (<xref ref-type="bibr" rid="64759646016_ref26">Neiva-Silva, 2008</xref>). In addition, the sample of this study comprises a low number of young girls, interfering in analysis stratified by sex. However, it must consider that such limitation is a characteristic of studies with this population since once on the street-involved girls are more vulnerable to become engaged in activities related to sexual exploitation, so the access to them has become more difficult. </p>
<p> Despite these limitations, this is a precursor study in Brazil in the longitudinal investigation of the SWB of young people in street situation. The results show the existence of different profiles of street-involved youth, confirming the initial hypothesis of SWB as an important indicator of better patterns of adjustment and development and maintenance of protective relationships. This information can be useful for interventions and public policies of attention to the youth population in street situation. Future research could verify whether different SWB profiles, stressful events, and patterns of health-risk behaviors remain in adulthood or if other positive variables (e.g., sense of life) explain why some street-involved youth experience greater well-being than others.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The authors thank the National Council for
Scientific and Technological Development (CNPq); Coordination for the Improvement of Higher Education
Personnel (CAPES);
and Cearense Foundation to Support Scientific
and Technological Development (FUNCAP) for the funding received for this study.</p>
</ack>
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<fn-group>
<title>Notes</title>
<fn fn-type="other" id="fn1">
<label>*</label>
<p>Research article. This article resulted from the
doctoral thesis of the first author.</p>
</fn>
<fn fn-type="other" id="fn3">
<label>
<sup>1</sup>
</label>
<p>The maximum time of institutionalization (two years)
is provided for in Brazil Law 12.010/2009. However, in practice, this time
tends to exceed the limit of two years, due to the difficulties of working to
reinsert the family (in the family of origin, extensive or substitute).</p>
</fn>
</fn-group>
</back>
</article>
