Fruit and vegetable consumption is associated with improved health outcomes,yet there is limited understanding of the impact of cost and accessibilityon fruit and vegetable intake in rural settings. This study examines therelationship between the consumption of fruits and vegetables and their costand accessibility among blacks and non-Hispanic whites in a rural area.Individual characteristics from a 2006 mail survey (n = 1,510) were combinedwith store locations and price information from a 2006 ground-truthed censusof retail outlets. The mail survey covered seven counties in central Texaswith 38 supermarkets/grocery stores. Blacks tended to live closer to asupermarket or grocery store, but they were only slightly more likely thanwhites to consume two or more servings of fruit daily and much less likelyto consume three or more servings of vegetables. Multivariate probitregression analysis revealed that neither access nor cost was related tofruit or vegetable consumption among white respondents. Among blacks, costwas also not associated with consumption. In contrast to whites, however,each additional mile was associated with a three percentage point decline inthe probability of consuming two or more servings of fruit daily and a 1.8percentage point decline in the probability of consuming three or morevegetable servings.