Objective To investigate the current status and factors associated with knowledge, attitudes and behaviors of eye care service among parents of preschool children in Binhu District, Wuxi, Jiangsu Province, so as to provide evidence for eye care service.

Methods Convenient sampling method was used to recruit 1 185 parents of children aged 3 to 6 years old from 7 kindergartens in Binhu District as study subjects from May to June 2022. Self-designed questionnaire was used to investigate general information of parents and children, and their knowledge, attitudes and behaviors of children’s eye care. Univariate analysis and multiple linear regression were used to analyze factors associated with it.

Results The average score of the questionnaire on eye care among 1 185 parents was (103.57 ± 6.12), of which 67.59% was “good”, 32.33% was “medium” and 0.08% was “poor”. The scores of knowledge, attitudes and behaviors were (16.48 ± 1.45), (43.80 ± 2.38) and (43.28 ± 4.73), and the scores rated as “good” accounted for 56.03%, 94.68% and 24.05%, respectively. Multiple linear regression analysis showed that occupation, educational level of parents, and whether children with eye disease were factors associated with the score of parents on eye care (all P < 0.05).

Conclusion Knowledge, attitudes and behaviors of eye care among parents of preschool children in Binhu District, Wuxi are generally good, but their practice of eye health needs to be improved. Appropriate measures should be formulated focusing on groups with different occupations and education levels to promote eye health of preschool children in the future.