Usually means: Sister, often used among Black women.
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We found 3 dictionaries that define the word sistah:

General (2 matching dictionaries)
  1. Sistah, sistah: Wordnik
  2. sistah: Wiktionary

Slang (1 matching dictionary)
  1. sistah: Urban Dictionary

Definitions from Wiktionary (Sistah)

noun:  (African-American Vernacular) Pronunciation spelling of sister. [A daughter of the same parents as another person; a female sibling.]

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