Honolulu slipped a few notches this year in a national magazine's annual list of the healthiest cities for women.

Self magazine listed Honolulu as the fourth-healthiest city in its survey published yesterday in its December issue. Honolulu had held the top spot in Self's 2006 list and was replaced this year by San Francisco.

The magazine examined data in more than 50 categories, including exercise and eating habits, heart disease and depression rates, and environmental factors, to rank 100 metropolitan areas. The magazine said the good news is that cities are doing more to help women and others be healthy by doing such things as building parks and paths, expanding insurance coverage, and banning smoking in public areas.

Following San Francisco as the healthiest cities are Nassau-Suffolk counties, N.Y.; San Jose, Calif.; Honolulu; and Burlington, Vt. The bottom five cities are Gary, Ind.; Detroit; Cincinnati; Oklahoma City; and Columbus, Ohio.

Honolulu was praised for its scores in four categories: