FETAL ORIGINS OF MENTAL HEALTH: EVIDENCE FROM AFRICA

Abstract

Mental health disorders are a substantial portion of the global disease burden, yet their determinants are understudied, particularly in developing countries. We find that temperature shocks in utero increase depressive symptoms in adulthood in Africa. A ten percent increase in heat exposure increases our depression indices .05 to .07 standard deviations. We find no evidence that the effects of these shocks are smaller for more recent birth cohorts, nor do shocks predict greater treatment of depressive symptoms. Temperature fluctuations, increasingly frequent due to climate change, worsen the mental health disease burden and health care systems in Africa do not mitigate these impacts.