The rapid growth of the organic food market in Italy and in other developed countries has drawn the attention of researchers and practitioners. The diffusion of pro-environmental concerns and sustainable lifestyles among consumers are often cited as two of the main drivers of the increase in demand for organic food products. Consequently, unveiling the factors that influence consumers’ demand of, and preference for organic food is essential for all the actors involved in the supply chain. This paper presents the results of a research model which relates organic food purchase intention to consumers’ green consciousness, health motivations, food safety concerns, organic product knowledge, family and social context and perception of the intrinsic quality of food. A questionnaire, based on the Theory of Planned Behavior (TPB) and the extant literature on organic food choice, was developed and presented to a sample of 600 Italian consumers. Causal relations among variables were then tested using Structural Equation Modelling. The results suggest that, besides the existence of green consciousness, other variables may affect consumers’ preference for organic food: among these, specific and closely interlinked elements, such as food safety concerns and perceived quality heavily affected the intention to buy organic food products.