The study assessed consumer preferences for banana (Musa spp.) ripening methods and their perceived health implications in Imo State, Nigeria., The study investigated the determinants of consumer choices using a cross-sectional survey. Data were collected from of 450 respondents selected through a multi-stage sampling technique across three major banana markets. Descriptive statistics and binomial logistic regression were employed to analyse the data. Results indicated that, 78% of respondents preferred naturally ripened bananas, while 22% opted for artificially ripened ones. Only 41% were aware of the potential health risks of artificial ripening, and 89% lacked access to reliable information on ripening methods. Regression results showed that education level (β =-0.312, p = 0.002), health risk awareness (β =-0.672, p < 0.001), and access to information (β =-0.598, p = 0.004) significantly reduced the likelihood of preferring artificial ripening. In contrast, gender (β = 0.534, p = 0.015) and income (β = 0.188, p = 0.003) increased this likelihood. The study highlights the need for targeted food safety education and stricter regulatory enforcement to protect consumers and promote healthier fruit consumption practices.