CNN — 

Parents in the United States are overwhelmed and burned out with the “dizzying pace” of the world, and it’s a public health concern, according to a surgeon general’s advisory released Wednesday that calls for shifts in policy and cultural norms.

“The work of parenting is essential not only for the health of children but also for the health of society,” wrote US Surgeon General Dr. Vivek Murthy, a father of two. “We know that the well-being of parents and caregivers is directly linked to the well-being of their children.

The advisory describes how mothers and fathers now work many more hours than in 1985 but also spend many more hours every week on primary child care — and that doesn’t count their total time spent with children. “Demands from both work and child caregiving have come at the cost of quality time with one’s partner, sleep, and parental leisure time,” the advisory says. The strain is even greater on parents caring for aging parents or other loved ones.

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