A time series dataset spanning 39 years (1981?2018) on red tide events in Zhejiang coastal waters was used to study the characteristics of inter-annual spatial and temporal variations. A distinct inter-annual pattern characterized by low frequency, explosive growth and fluctuating decline stages was found over the studied time scale. Most red tide events occurred in parallel to the bathymetric contour, and 95.4％ were located to the west of the 50 m isobath. Additionally, the high-incidence area of red tides is expanding southward. In this paper, local sea surface temperature (SST), mariculture area and secondary industry growth rate are introduced and identified as the main factors influencing the nutrient and hydrometeorological conditions. A multivariate nonlinear regression equation based on these factors was constructed, and the goodness of fit coefficient was 0.907. The causes of the annual variation and high-frequency area in the southward expansion were quantitatively analyzed based on the proposed regression model. Finally, the results indicated that 68.7％ of the annual occurrence variation of red tide was due to the SST and mariculture area, which are the main impact factors; however, secondary industry growth could compensate for the nutrient deficiency caused by the sharp mariculture area reduction and decreased SST. The background nutrient level, which is elevated by coastal economic development, especially secondary industry, is the main determinant of the southward expansion. Although the trend of the southward expansion of high-frequency areas has not changed, the red tide frequency in coastal cities has decreased by half and remained at a stable level after 2010 due to substantial economic restructuring and environmental protection.