It can certainly exacerbate it. I'm less sure about creation; Tsarist Russia was not a nice place for anyone but the aristocracy, and life was also highly precarious in China before Mao came along - the Taiping Rebellion is estimated to have killed as much as 10% of the population, while China's population grew close to 50% during Mao's tenure despite the death of tens of millions from starvation.
I'm not communist, but it has arguably been a good fit for underdeveloped agrarian societies that feel a strategic need to industrialize rapidly without giving up political/industrial autonomy.
https://warwick.ac.uk/fac/soc/economics/staff/mharrison/publ...