Photovoice is a participatory action research method that was used to investigate the food access and food choices of youth in low-income, high-obesity communities of urban Phoenix. To better understand the challenges adolescents face when making the conscious decision to eat healthy, impactful methods of photovoice, surveys and focus groups were used. This study investigated food access and food choice perceptions of adolescents aged 10-14 years old that were enrolled in ASU-Mayo Clinic Obesity Solutions, FitPHX Kids Energy Zones. Overall, the findings of this thesis present many interwoven barriers preventing low-income inner-city youth from eating healthy. Results from the study suggest that the four main barriers to healthy eating are the abundant access to unhealthy food, misunderstanding of a healthy diet, intrapersonal sentiments toward unhealthy food choices and emotional conflicts toward eating. Together those barriers create a complex environment conducive to unhealthy eating.