The purpose of this study is to investigate socioeconomic inequality in fruit and vegetable (F&V) intake and contributing factors. Data of 9981 participants from the recruitment phase of Ravansar Non-Communicable Diseases (RaNCD) cohort study were included in the final analysis. The concentration index was calculated to measure the inequality. The prevalence of adequate F&V intake was 55.8% and concentration index was 0.178, indicating that more people in the higher SES group are consuming enough F&V. Place of residence, followed by SES, had the greatest contribution to F&V intake inequality in the west of Iran. It is suggested that villagers and the poor be the target group for interventions to increase fruit and vegetable access.