To identify the determinant of the occurrence of IUD expulsion Materials & Methods Based on 25 733 IUD uses from the Chinese Two per Thousand Fertility Survey data, this study examines the patterns and differentials of IUD expulsion rate by characteristics of women, and identifies the socio demographic determinants of IUD expulsion. A Life Table method was used to calculate the cumulative expulsion rate and a random effects discrete time survival model was employed to assess the impact of potential determinants simultaneously on the risk of expelling an IUD. Results Three major findings are observed in this study. First, IUD expulsion was the second main reason, after pregnancy during IUD use, for IUD discontinuation during the first four years of IUD insertion; the expulsion rates were 6.4%, 9.1%, 10.8 %, and 12.0% at 12, 24, 36 and 48 months, respectively. Second, there was a clustering of IUD expulsion: some women experienced repeated IUD expulsions. Third, some socio demographic characteristics and fertility history were associated with the occurrence of IUD expulsion. In particular, the expulsion rate was high among young women, among those with two or more children and among those living in rural areas. Conclusion The above mentioned factors shoald be addressed in order to decrease the IUD expulsion rate and enhance the reprocluctive he alth of women. To identify the determinant of the occurrence of IUD expulsion Materials & Methods Based on 25 733 IUD uses from the Chinese Two per Thousand Fertility Survey data, this study examines the patterns and differentials of IUD expulsion rate by characteristics of women, and identifies the socio demographic determinants of IUD expulsion. A Life Table method was used to calculate the cumulative expulsion rate and a random effects discrete time survival model was employed to assess the impact of potential determinants simultaneously on the risk of expelling an IUD. Results Three major findings are observed in This study. First, IUD expulsion was the second main reason, after pregnancy during IUD use, for IUD discontinuation during the first four years of IUD insertion; the expulsion rates were 6.4%, 9.1%, 10.8%, and 12.0% at 12, 24, 36 and 48 months, respectively. Second, there was a clustering of IUD expulsion: some women experienced repeated IUD expulsions. Third, some socio demographic characteristics and fertility history were associated with the occurrence of the occurrence of IUD expulsion. In particular, the expulsion rate was high among young women, among those with two or more children and among those living in rural areas. Conclusion The above mentioned factors shoald be addressed in order to decrease the IUD expulsion rate and enhance the reprocluctive he alth of women.