In recent years, global demand for marine aquaculture products has led to a significant rise in antibiotic use, particularly in tropical coastal aquaculture areas However, research on antibiotic residues in these environments remains limited, hindering a comprehensive understanding of their environmental presence and associated risks. This study investigates the regional distribution, ecological risks, and sources of 44 antibiotics in seawater across four coastal aquaculture areas in Hainan island (Wenchang, Sanya, Danzhou, and Wanning). Among the 44 antibiotics tested across 42 sampling sites, all were detected with a 100 % detection rate. Antibiotics such as Trimethoprim (TMP), Sulfanitran (APNPS), Sulfaquinoxaline (SQ), Sulfadimethoxine (SDT), Chloramphenicol (CHP), and Florfenicol (FLO) were consistently detected across all sampling sites. Total concentrations of detected antibiotics ranged from 0 to 818.79 ng.L-1, with sulfonamide antibiotics ranging from 0 to 629.49 ng.L-1, chloramphenicol antibiotics from 0 to 87.39 ng.L-1, tetracyclines from 0 to 221.39 ng.L-1, and fluoquinolones from 0 to 272.08 ng.L-1. The highest levels of antibiotic pollution were observed at the W5 sampling site in Wenchang, attributed to aquaculture wastewater discharge, while no antibiotics were found at D12 in Danzhou. In these regions, source analysis identified aquaculture and domestic sewage as the primary contributors to antibiotic pollution in these regions. Correlation analysis with environmental factors revealed significant influences of factors such as SAL, kPa, TN, SPC, and pH on sulfonamide and chloramphenicol antibiotics. Health risk assessment indicated moderate to high risks to aquatic organisms from antibiotics like NOR, CIP, ENR, OFL, TMP, and SMX in the study areas, underscoring the need for preventive measures, stricter regulation of antibiotic use, and enhanced ecological risk monitoring in aquaculture regions. This study provides critical insights into antibiotic contamination in Hainan's coastal aquaculture areas, highlighting the urgent need for further research into the occurrence and ecological impacts of these emerging pollutants in marine environments.