Air pollution in China and other parts of Asia poses large health risks and is an important contributor to global climate change. Almost half of Chinese homes use biomass and coal fuels for cooking and heating. China's economic growth and infrastructure development has led to increased emissions from coal-fired power plants and an expanding fleet of motor vehicles. Black carbon (BC) from incomplete biomass and fossil fuel combustion is the most strongly light-absorbing component of particulate matter (PM) air pollution and the second most important climate-forcing human emission. PM composition and sources may also be related to its human health impact. We enrolled 280 women living in a rural area of northwestern Yunnan where biomass fuels are commonly used. We measured their blood pressure, distance from major traffic routes, and daily exposure to BC (pyrolytic biomass combustion), water-soluble organic aerosol (organic aerosol from biomass combustion), and, in a subset, hopane markers (motor vehicle emissions) in winter and summer. BC had the strongest association with systolic blood pressure (SBP) (4.3 mmHg; P < 0.001), followed by PM mass and water-soluble organic mass. The effect of BC on SBP was almost three times greater in women living near the highway [6.2 mmHg; 95% confidence interval (CI), 3.6 to 8.9 vs. 2.6 mmHg; 95% CI, 0.1 to 5.2]. Our findings suggest that BC from combustion emissions is more strongly associated with blood pressure than PM mass, and that BC's health effects may be larger among women living near a highway and with greater exposure to motor vehicle emissions. cardiovascular disease | household air pollution | solid fuels P articulate matter (PM) air pollution is a leading health risk factor (1) and primary contributor to anthropogenic climate change (2). Air pollution is notoriously high in China and other parts of Asia. China's rising energy demands have led to increased air pollution emissions from coal-fired power plants (3). Its motorized transport growth is the fastest in the world with the number of motor vehicles projected to quadruple in the next two decades, reaching over 380 million by 2030 (4). Meanwhile, nearly half of all Chinese still cook and heat their homes with highly polluting biomass and coal fuels (5). The resulting PM concentrations routinely exceed the World Health Organization's (WHO) annual Air Quality Guideline of 10 μg/m 3 by a factor of 10 or more (6) and are associated with a number of adverse health outcomes, including cardiovascular diseases (1, 7).PM differs in chemical properties, size, and possibly effects on human health. Black carbon (BC) and organic carbon PM are emitted during incomplete biomass and fossil fuel combustion and seem to have important effects on both climate and human health. BC affects the regional and global climate by absorbing solar radiation and heating the atmosphere and is the second most important climate-forcing human emission, after carbon dioxide (8). Coemitted organic carbon may further influence radiative forcing by ac...