"The residents of the state of Hawaii and the territories of Guam and the Commonwealth of the Northern Mariana Islands (CNMI) consume the most Spam per capita in the United States. On average, each person on Guam consumes 16 tins of Spam each year and the numbers at least equal this in the CNMI. Guam, Hawaii, and Saipan, the CNMI's principal island, have the only McDonald's restaurants that feature Spam on the menu. Burger King, in Hawaii, began serving Spam in 2007 on its menu to compete with the local McDonald's chains.

The perception of Spam in Hawaii is very different from that on the mainland. Despite the large number of mainlanders who eat Spam, and the various recipes that have been made from it, Spam, along with most canned food, is often stigmatized on the mainland as 'poor people food'. In Hawaii, similar canned meat products such as Treet are referred to as 'poor people Spam'."