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The purpose of this review was to assess the existing literature on the relationship between built environment, healthy food access, and youth perception. In the literature, limited numbers of studies are available that focus on factors of healthy food access in the built environment and youth perceptions of food access. Researchers report that youth perceive healthy food access to be difficult and limited. Unhealthy food items are easily accessible, cheaper, and better advertised to the younger population. Low-income youth are more likely to have easier and cheaper access to unhealthy food items such as fast food. A better understanding is needed to improve programs targeting youth and health disparities in low-income neighborhoods that suffer disproportionately from the lack of healthy food access. [ABSTRACT FROM AUTHOR]