This study relates the demand for quality foods in Hanoi in terms of its nutritional composition, diversity, price, processing stage, source, and extent eaten outside home with urbanization and enhanced incomes. The vast differences in these foods quality parameters across different socioeconomic groups and regions in and around Hanoi city suggest the changing nature of the food quality with increased income and urbanization. One lesson learned from this analysis is that urbanization and increased income may not necessarily bring all positive changes in food quality. While the diet becomes more balanced in terms of micronutrient, the increased demand for fat-based calories, processed and restaurant foods, and drift away from fresh sources of farm and home-garden foods raised alarm for food quality and safety. These trends provide a space for government policies to intervene for the purpose of maintaining hygiene standards of food and public health.