The psychological factor is that the average education level of the community is only the tenth grade, which is equivalent to a second year of high school. The environmental factors are the hot and arid climate, the presence of only one general practitioner and one dentist in the city, only 10% of female residents receive prenatal care during pregnancy and the only means of transportation to Tucumcari is the train or car that only crosses the city once in the morning and once in the evening. The sociocultural factors of the healthcare system are that only 20% of residents are of Latino origin, mainly Mexican. The remaining 80% of residents are Caucasians of European descent. Additionally, many Latino residents utilize alternative health practices (Clark,