Studies suggest that proximity to a supermarket influences access to healthy foods. However, little is known about factors that influence food buying practices within areas with limited supermarket access. This study identified these factors and explored how they are related and influence healthy eating. Twenty-five men and women engaged in the concept mapping process, a mixed methods approach allowing participants to identify, sort, and rate ideas. Participants generated 121 unique (nonduplicate) statements of factors that influence food buying practices and sorted them into 12 clusters that represented their perceptions. Average cluster ratings for residents with poor supermarket access were higher than residents with supermarket access. Awareness of these factors is important for increasing access to and consumption of healthy foods.