Analyzing the drivers of soil conservation (SC) service is crucial for ecosystem restoration. However, previous studies often overlook the relationship between soil erosion and SC. In this study, we applied the revised universal soil loss equation (RUSLE) model to analyze the spatiotemporal trends and driving forces of SC service across China from 1990 to 2019. The results indicate that both soil erosion and SC service have exhibited overall increasing trends over the past 30 years. The average SC amount increased 21.3 % from 1990s to 2010s. The average total SC amount and capacity were 229.95 billion t a−1 and 242.91 t ha−1 a−1, respectively. Spatial analysis reveals significant regional variability, with 26.6 % of the land area experiencing fluctuations in SC, these regions contribute to 87.5 % of the total SC amount in the country. We developed a classification system with six patterns to assess the impacts of climate change and human activities on SC. Patterns dominated by climate change exhibit consistent trends in soil erosion and SC service, whereas those dominated by human activities show opposite trends. When climate change and human activities interact, the relationship becomes more complex. Climate change has the most significant influence on SC alterations, affecting 77.1 % of areas with SC changes, while human activities also play a notable role. Although regions primarily impacted by human activities account for only 1.8 % of the total area, they represent 45,200 km2. The remaining 21.1 % of areas are influenced by both climate change and human activities, highlighting the importance of human activities in 22.9 % of areas with SC changes. These findings underscore the synergistic effects of climate change and human activities on SC in China, providing a foundation for future research and the development of targeted SC strategies.